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Louisiana rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.82 / $2,060.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.50 / $68.43 / $111.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.04 / $219.93 / $338.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.42 / $80.37 / $120.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $77.55 / $115.66
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
$61.05 / $97.83 / $138.86