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Louisiana rates for HCPCS 87495

Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $41.69 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $53.70 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $34.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $74.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $27.54 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.14 / $36.31