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Louisiana rates for HCPCS 80201

Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $28.61 / $152.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $12.64 / $15.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.67 / $23.80 / $44.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $13.11 / $20.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $11.92 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $25.82 / $74.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $7.90 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.83 / $21.00