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Louisiana rates for HCPCS 87301

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; adenovirus enteric types 40/41

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $16.51 / $63.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $13.30 / $15.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $23.96 / $44.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $13.18 / $20.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $25.82 / $74.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $7.97 / $17.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $10.06 / $10.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.19 / $24.50