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Louisiana rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.99 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $62.71 / $102.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.55 / $849.12 / $1,192.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.35 / $73.95 / $90.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.02 / $191.02 / $191.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.93 / $66.43 / $107.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.68 / $81.56 / $147.16