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Louisiana rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.67 / $1,520.00 / $3,593.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.16 / $297.89 / $604.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $161.58 / $161.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $650.00 / $820.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $513.00 / $1,226.00