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Louisiana rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.91 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.67 / $420.81 / $519.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.58 / $5,468.07 / $7,805.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.26 / $435.50 / $543.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,096.84 / $3,096.84 / $3,096.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.87 / $384.41 / $518.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.83 / $374.17 / $627.38