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Louisiana rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.49 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.01 / $107.99 / $134.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.15 / $4,058.90 / $5,701.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.24 / $108.78 / $133.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.01 / $104.82 / $155.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $544.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.94 / $103.22 / $172.19