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Louisiana rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,101.00 / $5,604.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,692.36 / $28,516.37 / $40,083.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $9,403.00 / $22,109.00