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Louisiana rates for HCPCS 87631

Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $194.98 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $275.42 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $213.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $354.81 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $229.09