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Louisiana rates for HCPCS 87350

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; hepatitis Be antigen (HBeAg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $19.43 / $86.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.46 / $14.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.19 / $23.10 / $42.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $12.68 / $19.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $12.10 / $12.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $25.10 / $71.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $7.72 / $16.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.76 / $20.63