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Louisiana rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $211.34 / $620.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $211.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.25 / $130.50 / $236.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.20 / $236.20 / $240.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.88 / $147.88 / $147.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.33 / $303.33 / $303.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $234.27 / $248.78