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Louisiana rates for HCPCS 81204

AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $190.55 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $120.23 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $263.03 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $165.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $263.03 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $190.55