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Illinois 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 $50 · 10th–90th $27–$1320%10%10th90th$50Professionalmedian $22 · 10th–90th $15–$480%20%10th90th$22$5.0$20.0$100.0$500.0$2.0K

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
$26.30 / $50.12 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $107.15 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $17.78 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $31.62 / $51.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $93.33
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.78 / $26.30