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Kentucky 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
$20.89 / $35.48 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $36.31 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.88 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $64.57 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $21.88 / $36.31