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Louisiana rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.51 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.49 / $713.73 / $1,083.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.62 / $4,819.04 / $7,020.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.64 / $763.18 / $955.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.88 / $718.81 / $1,098.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.01 / $686.93 / $1,219.67