go back

Louisiana rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,905.46 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,311.31 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,047.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,412.54
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
$660.69 / $851.14 / $1,348.96