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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
$21.51 / $24.38 / $31.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $20.17 / $20.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $31.28 / $31.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $53.10 / $61.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $31.28 / $36.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.28 / $36.42 / $50.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $47.35 / $65.56