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Louisiana rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

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
$749.46 / $1,145.70 / $1,252.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,172.80 / $7,426.71 / $10,438.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.29 / $1,166.53 / $1,455.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.64 / $1,033.47 / $1,387.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.30 / $987.21 / $1,683.72