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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
$19.02 / $20.60 / $115.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $20.86 / $24.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $23.46 / $27.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $12.87 / $36.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.28 / $36.50 / $43.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $35.19 / $52.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $20.29 / $66.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $43.55 / $336.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $21.85 / $46.14