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Louisiana rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.86 / $184.25 / $223.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.64 / $513.04 / $803.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.75 / $179.78 / $232.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $189.17 / $296.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $169.76 / $349.48