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Louisiana rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,524.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.07 / $1,396.20 / $1,887.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.63 / $4,340.72 / $6,209.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.41 / $1,451.07 / $1,913.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.90 / $1,386.67 / $2,010.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.70 / $1,527.09 / $2,244.23