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Louisiana rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,245.00 / $6,546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,417.80 / $6,363.70 / $6,670.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,028.39 / $8,941.96 / $11,324.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,656.59 / $7,751.54 / $10,692.86
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
$5,387.23 / $7,768.53 / $13,093.06