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Louisiana rates for HCPCS 40654

Repair lip, full thickness; over one-half vertical height, or complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.67 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.81 / $617.90 / $877.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.36 / $2,184.04 / $3,102.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.89 / $732.87 / $926.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.68 / $597.89 / $997.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,643.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.93 / $626.39 / $1,010.36