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Louisiana rates for HCPCS 0051U

Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrommetry (LC-MS/MS), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.33 / $308.00 / $1,018.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $205.33 / $251.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.78 / $346.41 / $486.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $259.92 / $361.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.79 / $371.51 / $1,369.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $130.87 / $354.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $103.71 / $246.92