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California 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 $87 · 10th–90th $32$2950%5%10th90th$87Professionalmedian $26 · 10th–90th $18$1410%10%10th90th$26$10.0$50.0$200.0$1.0K$5.0K

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
$53.70 / $151.36 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $60.26 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $75.86
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $154.88 / $416.87
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $46.77 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $81.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $75.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $64.57