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Louisiana rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,608.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.41 / $1,712.47 / $1,906.79
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
$1,519.90 / $1,582.44 / $1,914.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.67 / $1,362.98 / $2,140.46
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
$999.54 / $1,310.29 / $2,065.64