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Louisiana rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $1,893.00 / $5,127.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.79 / $4,340.72 / $6,151.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,759.08 / $2,759.08 / $2,759.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00