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Louisiana rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

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
$1,165.31 / $1,780.95 / $1,946.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.42 / $1,809.27 / $2,267.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.91 / $1,632.96 / $2,155.19
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
$1,144.89 / $1,580.64 / $2,617.29