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Louisiana rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.89 / $27.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.94 / $28.94 / $43.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $28.94 / $29.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $35.82