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Louisiana rates for HCPCS 22853

Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $1,273.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.83 / $336.79 / $493.81
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$96.61 / $96.61 / $96.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.49 / $290.49 / $337.84
Ambetter
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$48.26 / $48.26 / $48.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.69 / $1,545.83 / $2,134.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.10 / $338.91 / $495.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.69 / $241.69 / $241.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.37 / $363.48 / $515.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.01 / $306.67 / $553.95