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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)

Facilitymedian $26 · 10th–90th $20–$630%20%10th90th$26Professionalmedian $21 · 10th–90th $13–$360%20%10th90th$21$10.0$20.0$50.0$100.0$200.0

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 / $26.30 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $36.31 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $43.65 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $21.88 / $36.31