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Louisiana rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.39 / $1,230.00 / $3,685.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,617.50 / $1,617.50 / $1,617.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.79 / $4,340.72 / $6,168.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.34 / $1,973.34 / $1,973.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00