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Louisiana rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.74 / $2,847.00 / $6,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.74 / $937.63 / $1,351.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,766.52 / $9,166.60 / $13,229.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.03 / $957.70 / $1,234.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.24 / $847.98 / $1,137.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.00 / $7,066.48 / $13,914.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.92 / $896.55 / $1,494.07