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Louisiana rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.49 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.49 / $893.81 / $975.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.11 / $5,408.82 / $7,330.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.30 / $1,067.44 / $1,166.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.78 / $879.52 / $1,169.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.98 / $1,013.42 / $1,465.99