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Louisiana rates for HCPCS 0116U

Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.74 / $356.30 / $1,298.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.19 / $274.08 / $321.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.36 / $482.21 / $759.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.55 / $473.93 / $1,744.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.87 / $130.87 / $354.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $111.11 / $290.49