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Louisiana rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.29 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.36 / $477.87 / $654.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.15 / $1,762.13 / $3,899.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.66 / $525.36 / $663.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.90 / $554.41 / $899.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.53 / $527.42 / $796.96