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Louisiana rates for HCPCS Q0173

Trimethobenzamide Hcl 250mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.92 / $1.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.84 / $0.89