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Louisiana rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.63 / $1,230.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,312.82 / $5,253.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00