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Louisiana rates for HCPCS 0011U

Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $165.96 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $208.93 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $141.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $218.78 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $158.49