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Louisiana rates for HCPCS 20665

Removal of tongs or halo applied by another individual

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.69 / $1,230.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.30 / $380.61 / $857.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $84.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $557.51 / $1,226.00