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Louisiana rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.28 / $2,060.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $188.28 / $294.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.79 / $699.33 / $1,447.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.41 / $232.15 / $315.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.30 / $698.30 / $698.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $200.69 / $348.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.83 / $265.79 / $403.39