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Louisiana rates for HCPCS 87420

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; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $19.05 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $26.92 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $23.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $26.92 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $13.80 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.08 / $16.60