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Louisiana rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.91 / $1,850.00 / $3,945.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.63 / $9,974.04 / $13,666.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $113.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.00 / $1,802.00 / $1,802.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $544.00 / $1,596.00