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Massachusetts 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
$23.99 / $60.26 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $77.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $36.31 / $93.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.30 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $63.10 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $44.67 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $31.62 / $67.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $56.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $36.31 / $93.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.30 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.30 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $22.91 / $60.26