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Hawaii 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
$21.38 / $25.70 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.42 / $31.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $31.62 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $31.62 / $50.12
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $46.77 / $66.07