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Louisiana rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,408.18 / $1,605.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,708.16 / $12,390.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.52 / $1,361.24 / $1,620.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.82 / $1,168.25 / $1,813.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $1,107.65 / $1,687.52