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Louisiana rates for HCPCS 84376

Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.59 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $11.22 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.03 / $10.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $10.72 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.63 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $5.50 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.16 / $7.76