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Louisiana rates for HCPCS 12004

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $891.25 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $114.82 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $354.81 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $147.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $120.23 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $446.68 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $120.23 / $199.53