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Arkansas 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 $41 · 10th–90th $30–$600%10%20%10th90th$41Professionalmedian $23 · 10th–90th $17–$470%20%10th90th$23$10.0$20.0$50.0$100.0$200.0$500.0

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
$35.48 / $45.71 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $34.67 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $34.67 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.78 / $52.48