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Louisiana rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.34 / $53.74 / $205.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $43.29 / $50.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.88 / $63.13 / $96.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $42.90 / $42.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.67 / $75.37 / $181.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $16.59 / $56.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $16.38 / $40.07