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Louisiana rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.00 / $1,520.00 / $3,728.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.43 / $3,604.17 / $5,772.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00