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Louisiana rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.10 / $1,000.00 / $3,779.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.10 / $181.57 / $293.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.32 / $821.21 / $1,878.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $235.01 / $295.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $192.68 / $317.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.04 / $269.66 / $384.15