go back

Minnesota 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 $54 · 10th–90th $26–$1740%20%10th90th$54Professionalmedian $26 · 10th–90th $20–$360%20%10th90th$26$10.0$20.0$50.0$100.0$200.0$500.0

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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $53.70
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $173.78
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $20.89 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $57.54