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Louisiana rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $57.54 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $117.49