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Louisiana rates for HCPCS 12057

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,513.56 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $676.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $954.99
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
$380.19 / $537.03 / $891.25