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Louisiana rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.26 / $1,172.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.53 / $1,106.50 / $1,534.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $309.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $1,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00