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Louisiana rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.43 / $455.43 / $5,616.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $455.43 / $1,651.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,981.22 / $5,376.82 / $8,472.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.87 / $986.55 / $1,095.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,753.25 / $2,753.25 / $2,753.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.02 / $5,282.15 / $19,446.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.36 / $1,376.63 / $3,579.23