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Louisiana rates for HCPCS 14040

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,659.59 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,019.95 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $891.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,174.90
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
$549.54 / $707.95 / $1,096.48