go back

Louisiana rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,659.59 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $977.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,754.23 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,890.45