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Louisiana rates for HCPCS 90716

Varicella virus vaccine (VAR), live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.53 / $195.83 / $353.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.20 / $195.83 / $576.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.48 / $208.48 / $312.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.48 / $208.48 / $212.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.31 / $217.10 / $230.54