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Delaware 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 $30 · 10th–90th $30–$300%50%$30Professionalmedian $22 · 10th–90th $17–$950%20%40%10th90th$22$10.0$20.0$50.0$100.0

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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.89 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.38 / $57.54