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Iowa 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 $41 · 10th–90th $20–$760%10%10th90th$41Professionalmedian $24 · 10th–90th $17–$630%20%10th90th$24$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.95 / $48.98 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $63.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $33.88 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.98 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30