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Kansas 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 $52 · 10th–90th $26–$780%20%10th90th$52Professionalmedian $24 · 10th–90th $17–$600%10%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
$26.92 / $56.23 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $45.71 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $26.30 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $41.69