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Louisiana rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $22.40 / $140.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $13.57 / $17.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $26.13 / $43.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $14.58 / $22.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $28.91 / $82.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $8.30 / $19.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.95 / $27.09