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Louisiana rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $2,151.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.19 / $800.81 / $1,062.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,681.72 / $8,437.98 / $11,892.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.66 / $718.71 / $934.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.37 / $223.37 / $223.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.34 / $654.40 / $1,075.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $905.49 / $1,391.40