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Louisiana rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,412.54 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $870.96 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $691.83 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $831.76