go back

Louisiana rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $20.67 / $46.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.56 / $22.00 / $26.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.56 / $111.81 / $182.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $16.87 / $24.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $11.13 / $31.92