go back

Louisiana rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.75 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,390.73 / $2,390.73 / $2,390.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,312.82 / $5,168.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.90 / $2,035.90 / $2,035.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00