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Louisiana rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $372.76 / $560.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.92 / $1,014.67 / $1,477.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.75 / $432.88 / $524.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.58 / $440.50 / $714.58
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
$356.28 / $423.08 / $690.25