go back

Maryland 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 $11 · 10th–90th $11–$200%50%90th$11Professionalmedian $22 · 10th–90th $15–$430%20%10th90th$22$0.5$2.0$10.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $42.66
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.95 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $23.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $25.70 / $25.70