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Alabama 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
$26.07 / $29.98 / $52.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $29.98 / $29.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.59 / $11.64 / $15.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $22.57 / $26.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $27.45 / $82.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $16.14 / $145.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $12.97 / $31.67