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Georgia 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 $35 · 10th–90th $23–$870%10%10th90th$35Professionalmedian $23 · 10th–90th $13–$510%10%20%10th90th$23$10.0$50.0$200.0$1.0K

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
$23.44 / $47.86 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.30 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $52.48 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $31.62 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $204.17
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $47.86