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Louisiana rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $25.12 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $26.30 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.45 / $26.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $28.84 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.51 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.59 / $22.39