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Louisiana rates for HCPCS 87390

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; HIV-1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.11 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $44.67 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.30 / $34.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $45.71 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $22.91 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $27.54