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HIV Drug Resistance Sequencing

Wisconsin 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 $1,995 · 10th–90th $646$3,5480%20%10th90th$1,995Professionalmedian $631 · 10th–90th $257$2,1880%10%10th90th$631$100.0$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
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$2,238.72
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,019.95
Typical High
$4,570.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,786.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$2,089.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,230.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$2,398.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,467.37
Typical High
$3,467.37
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,884.03
Typical High
$3,630.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$575.44
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,096.48