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Louisiana rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.37 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $98.81 / $163.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $91.93 / $91.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.63 / $355.50 / $1,154.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $115.76 / $155.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $117.35 / $190.37
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
$93.88 / $117.60 / $178.47