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Louisiana rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.89 / $1,250.45 / $1,341.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,084.36 / $6,944.51 / $10,169.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.10 / $1,121.56 / $1,449.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.64 / $1,027.83 / $1,380.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $3,474.00 / $8,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.35 / $1,046.33 / $1,807.64