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Louisiana rates for HCPCS 0258U

Ai Psoriasis Mrna Gen Xprsn Prfl 50-100 Gen Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,895.50 / $5,303.02 / $19,329.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.00 / $4,373.25 / $4,777.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,979.29 / $7,176.91 / $11,308.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.09 / $597.91 / $663.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $3,675.00 / $3,675.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.75 / $2,959.66 / $27,902.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $4,777.50