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Louisiana rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.68 / $1,711.19 / $1,870.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,516.29 / $14,548.82 / $20,450.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.17 / $1,739.86 / $2,179.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.59 / $1,544.58 / $2,071.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.08 / $1,493.55 / $2,514.79