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Louisiana rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $7.94 / $29.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.81 / $7.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $11.07 / $20.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.05 / $9.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $11.86 / $33.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.65 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.15 / $9.84