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Louisiana rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.13 / $918.88 / $1,097.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,312.82 / $5,168.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.12 / $969.37 / $1,182.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.67 / $872.78 / $1,322.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,629.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.45 / $920.42 / $1,514.55