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Tennessee 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
$19.55 / $32.59 / $91.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $20.32 / $24.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.63 / $34.40 / $68.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $66.56 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $23.15 / $67.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $324.13 / $324.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.43 / $810.43 / $810.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $20.22 / $51.00