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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)

Facilitymedian $23 · 10th–90th $10–$390%10%20%10th90th$23Professionalmedian $22 · 10th–90th $17–$400%10%20%10th90th$22$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $30.90