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Louisiana rates for HCPCS 0505T

Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed, with crossing of the occlusive lesion in an extraluminal fashion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,694.00 / $7,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,652.67 / $10,200.01 / $11,628.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,770.75 / $16,590.75 / $24,268.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.43 / $1,065.31 / $18,589.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $8,932.00 / $19,270.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,439.62 / $14,159.45 / $23,640.23