go back

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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.34 / $46.78 / $2,372.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $24.71 / $363.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $30.89 / $90.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $12.87 / $48.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $37.79 / $56.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $57.35 / $80.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $31.33 / $88.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $37.02 / $204.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $31.54 / $32.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $18.07 / $55.73