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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
$26.30 / $30.20 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $11.75 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.62 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $27.54 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.85 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $26.30 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $26.30