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Louisiana rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $407.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,174.90 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $446.68