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Louisiana rates for HCPCS 0051U

Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrommetry (LC-MS/MS), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $281.84 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $346.74 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $371.54 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $281.84 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $194.98 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $229.09