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Louisiana rates for HCPCS 54000

Slitting Prepuce Dorsal/Lateral Spx Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.68 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $165.77 / $215.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,580.85 / $4,640.70 / $6,636.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.99 / $202.30 / $273.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.47 / $174.09 / $247.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $195.36 / $312.33