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Louisiana rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.00 / $1,494.00 / $1,494.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.20 / $1,494.00 / $1,494.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.80 / $1,441.80 / $2,162.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.80 / $1,441.80 / $1,470.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.95 / $1,245.00 / $1,675.51