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Louisiana rates for HCPCS 0328U

Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS), includes specimen validity and algorithmic analysis describing drug or metabolite and presence or absence of risks for a significant patient-adverse event, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.30 / $165.13 / $601.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $127.02 / $148.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.90 / $223.47 / $352.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $808.96 / $869.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.65 / $131.75 / $164.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $57.22 / $171.65