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Louisiana rates for HCPCS 12054

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $332.68 / $482.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.53 / $619.11 / $1,398.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.48 / $374.46 / $459.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.04 / $370.45 / $620.51
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
$309.50 / $367.54 / $642.02