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Oregon 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 $32 · 10th–90th $26–$780%20%40%10th90th$32Professionalmedian $25 · 10th–90th $18–$460%10%10th90th$25$10.0$50.0$200.0$1.0K

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
$32.36 / $39.81 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $69.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $40.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $52.48
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $31.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $40.74 / $87.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.39 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.79 / $31.62