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Louisiana rates for HCPCS 54336

1-Stage Perineal Hypospadias Repair Requiring Extensive Dissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube And/Or Island Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,859.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.40 / $1,680.24 / $1,862.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,180.33 / $5,199.43 / $7,254.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.92 / $1,731.64 / $2,171.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.17 / $1,645.28 / $2,060.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.80 / $1,514.70 / $2,505.08