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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
$102.07 / $142.72 / $467.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $71.48 / $71.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.78 / $153.38 / $215.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $120.46 / $167.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.81 / $164.67 / $605.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $131.75 / $1,607.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $42.89 / $114.43