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Louisiana rates for HCPCS 12035

Repair Intermediate S/A/T/E 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $1,299.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $341.79 / $496.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.95 / $732.76 / $1,401.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $372.39 / $468.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.60 / $249.60 / $249.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.74 / $382.65 / $635.79
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
$313.54 / $378.35 / $653.28