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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $47.86 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $23.99 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $33.11 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $26.30 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $52.48 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $26.30 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $36.31 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.44 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $47.86