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Louisiana rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,513.56 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $436.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,454.71 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $436.52