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Louisiana rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.13 / $2,418.00 / $5,203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $766.85 / $1,036.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.40 / $5,271.23 / $7,426.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.95 / $783.52 / $1,066.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $546.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.29 / $802.41 / $1,107.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.54 / $684.00 / $1,232.61