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Louisiana rates for HCPCS 24301

Muscle/Tendon Transfer Upper Arm/Elbow Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.09 / $7,360.79 / $13,753.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $682.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00