go back

Louisiana rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.82 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.93 / $125.83 / $221.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.84 / $338.64 / $568.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $136.43 / $259.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $124.97 / $230.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $163.69 / $303.83