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Louisiana rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,949.84 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$69.18 / $134.90 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $812.83 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,786.30 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,288.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,621.81