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Louisiana rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,862.09 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $263.03 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $501.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $691.83
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
$245.47 / $371.54 / $588.84