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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
$22.53 / $36.68 / $112.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $22.53 / $29.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.98 / $29.37 / $98.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $24.50 / $52.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.93 / $26.97 / $26.97
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $15.64 / $36.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $17.20 / $44.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $15.30 / $43.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $15.64 / $15.64