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Louisiana rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.31 / $1,711.65 / $1,867.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.42 / $2,089.10 / $2,283.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.31 / $1,634.69 / $2,229.15
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
$1,186.19 / $1,945.05 / $2,807.36