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Louisiana rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $457.09 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $199.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $512.86 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $251.19