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Louisiana rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.18 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $159.58 / $208.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.97 / $461.21 / $980.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.29 / $186.78 / $214.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.65 / $188.73 / $290.70
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
$141.31 / $175.48 / $345.67