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New Mexico 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 $85 · 10th–90th $29–$2510%10%20%10th90th$85Professionalmedian $25 · 10th–90th $16–$430%20%10th90th$25$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$38.90 / $83.18 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $169.82 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $39.81 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $67.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $40.74 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $15.85