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Florida 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
$22.91 / $77.62 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $32.36 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.88 / $52.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.92 / $26.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $27.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.89 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $21.38 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $15.49 / $15.49