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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
$16.60 / $57.54 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.38 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $75.86 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.30 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.98 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.50 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $61.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $15.85