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HIV Drug Resistance Sequencing

Virginia rates for HCPCS 0219U

Guides HIV treatment by sequencing three genes of the virus itself — protease, reverse transcriptase and integrase — to work out which antiviral drugs it is likely to resist. It reads the virus's genetic material, not the patient's own DNA.

Rates data updated June 2026.

Facilitymedian $1,072 · 10th–90th $537$3,0200%10%10th90th$1,072Professionalmedian $513 · 10th–90th $257$7940%10%10th90th$513$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,380.38
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,801.89
Typical High
$4,570.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,778.28
Typical High
$3,715.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$794.33