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Louisiana rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.62 / $2,498.00 / $5,203.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,062.92 / $10,062.92 / $10,062.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.04 / $3,766.39 / $6,792.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.55 / $1,669.55 / $1,669.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00