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Louisiana rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.59 / $277.82 / $473.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.89 / $506.89 / $1,062.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $167.97 / $549.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.23 / $81.23 / $125.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.19 / $488.00 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.53 / $240.35 / $564.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.14 / $390.82 / $648.79