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Louisiana rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $131.83 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $154.88 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $165.96 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $165.96 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $85.11 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $100.00