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Louisiana rates for HCPCS 0455T

Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device, vascular hemostatic seal, mechano-electrical skin interface and electrodes)

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,202.26 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,398.83 / $3,801.89