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Louisiana rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.79 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.50 / $740.42 / $1,109.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,022.03 / $4,304.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.38 / $851.01 / $1,038.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.28 / $759.83 / $1,155.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.83 / $821.04 / $1,344.68