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Louisiana rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$191.73 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.59 / $153.31 / $227.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.80 / $473.23 / $991.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.37 / $183.39 / $228.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.78 / $164.78 / $164.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.79 / $175.59 / $278.64
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
$143.49 / $175.41 / $278.64