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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
$19.05 / $95.50 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $117.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $33.88 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $43.65 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.38 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $44.67