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Louisiana rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.95 / $1,300.00 / $4,202.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.73 / $1,638.00 / $4,419.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.51 / $5,665.72 / $9,832.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.47 / $331.04 / $4,724.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.68 / $3,943.68 / $3,943.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.08 / $293.77 / $4,466.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,779.61 / $4,252.80 / $6,572.47