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Louisiana rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,905.46 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,311.31 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,023.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,479.11 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,288.25