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Washington, DC 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
$19.55 / $93.16 / $181.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $19.55 / $20.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.46 / $31.50 / $617.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.38 / $44.07 / $95.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $33.47 / $202.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $52.99 / $52.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $16.12 / $56.54