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Rhode Island 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 $78 · 10th–90th $32–$1660%20%10th90th$78Professionalmedian $24 · 10th–90th $19–$650%20%10th90th$24$10.0$20.0$50.0$100.0

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
$42.66 / $77.62 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.50 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $51.29