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Louisiana rates for HCPCS 50575

Rnl Ndsc Nfrot/Plot W/Endopyelotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.71 / $1,130.07 / $1,216.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,084.36 / $7,567.41 / $10,842.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.76 / $999.79 / $1,313.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.00 / $924.14 / $1,236.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.66 / $948.99 / $1,743.72