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Louisiana rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $229.09 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $144.54 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $177.83