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Michigan 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 $25 · 10th–90th $24–$460%50%10th90th$25Professionalmedian $22 · 10th–90th $19–$390%20%10th90th$22$5.0$10.0$20.0$50.0$100.0

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
$24.55 / $24.55 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.84 / $58.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $45.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $34.67 / $48.98
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.38 / $36.31