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New York 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 $49 · 10th–90th $25–$790%10%10th90th$49Professionalmedian $23 · 10th–90th $13–$590%10%20%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$26.30 / $50.12 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $70.79
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $26.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $67.61 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $38.02 / $204.17
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $58.88 / $107.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $48.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $42.66
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.39 / $67.61
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $63.10
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $81.28