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Louisiana rates for HCPCS 11004

Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.20 / $2,562.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.58 / $5,318.14 / $10,793.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $7,168.00