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Colorado 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
$19.80 / $54.87 / $95.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $19.80 / $24.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.55 / $72.73 / $119.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $22.88 / $79.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $19.18 / $55.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $32.33 / $51.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $37.02 / $62.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $14.94 / $15.99