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Louisiana rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $20.41 / $74.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.70 / $18.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $29.09 / $52.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $15.55 / $24.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $30.71 / $87.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $9.46 / $20.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.30 / $25.20