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Louisiana rates for HCPCS 54304

Penis Corrj Chordee/1st Stage Hypospadias Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.33 / $1,070.34 / $1,215.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.52 / $5,782.03 / $9,050.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.82 / $1,091.20 / $1,362.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.29 / $1,018.76 / $1,296.88
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
$679.14 / $940.94 / $1,573.01