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Louisiana rates for HCPCS 80220

Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.76 / $25.69 / $91.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $20.69 / $24.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $35.29 / $57.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $20.50 / $23.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $15.02 / $141.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $8.77 / $21.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $16.78 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.32 / $27.96