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Nationwide rates for HCPCS 87904

Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $50.12 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $34.67 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $52.48 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $32.36 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $26.30 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $37.15