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Louisiana rates for HCPCS 95921

Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $52.48 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $44.67 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $41.69 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $112.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $52.48 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $48.98 / $54.95
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $57.54 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $47.86 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $144.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $46.77 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.90 / $64.57