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Louisiana rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.91 / $1,744.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $387.22 / $570.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.71 / $394.80 / $679.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.04 / $1,066.95 / $1,728.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.27 / $409.31 / $540.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.62 / $257.62 / $257.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.39 / $419.68 / $689.44
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
$349.83 / $433.01 / $707.37