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HIV Drug-Resistance Gene Test

South Carolina rates for HCPCS 87906

Reads a stretch of the genetic material of HIV from a blood sample and looks for changes that make the virus resistant to particular HIV medicines. The report tells the treating doctor which drugs are likely to still work. It is used when treatment is being started or when the virus is not being held down by the current combination.

Facilitymedian $617 · 10th–90th $102$9330%10%10th90th$617Professionalmedian $110 · 10th–90th $89$1860%20%10th90th$110$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
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$616.60
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,000.00
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$165.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$181.97