go back

Louisiana rates for HCPCS 87901

Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $380.19 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $512.86 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $436.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $707.95 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $257.04 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $467.74