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Louisiana rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,691.53 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,413.10 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,288.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,445.44