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Louisiana rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.85 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $519.51 / $735.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.66 / $1,043.58 / $2,357.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.17 / $605.16 / $814.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.22 / $513.98 / $886.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.31 / $550.98 / $884.82