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Louisiana rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.00 / $1,850.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.66 / $1,063.96 / $1,747.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.62 / $4,819.04 / $7,020.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.62 / $1,183.58 / $1,386.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,150.27 / $3,150.27 / $3,150.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.23 / $1,102.38 / $1,530.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,820.00 / $8,731.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.98 / $1,113.73 / $1,943.25