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Louisiana rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.17 / $553.35 / $739.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.53 / $638.66 / $1,124.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.94 / $613.38 / $715.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.86 / $611.29 / $991.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.38 / $595.54 / $916.52