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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)

Facilitymedian $28 · 10th–90th $19–$1120%10%10th90th$28Professionalmedian $22 · 10th–90th $17–$430%20%10th90th$22$10.0$20.0$50.0$100.0$200.0$500.0$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
$19.50 / $24.55 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $28.84 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $26.30 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.78 / $52.48