go back

Mississippi 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
$26.30 / $47.86 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.84 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $32.36 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.62 / $81.28