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Louisiana rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $22.91 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $26.92 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.79 / $26.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $26.30 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $13.49 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $19.05