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Louisiana rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,861.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.10 / $854.24 / $1,208.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,312.82 / $5,168.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.20 / $946.31 / $1,114.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.17 / $589.17 / $589.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.84 / $843.40 / $1,238.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.11 / $882.15 / $1,556.39