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Louisiana rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.10 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.31 / $177.84 / $241.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.18 / $461.21 / $770.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.86 / $210.07 / $248.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.45 / $184.46 / $282.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.61 / $208.02 / $326.60