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Louisiana rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $62.77 / $66.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.87 / $74.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $59.66 / $148.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $53.06 / $87.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $56.88 / $92.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $66.13 / $113.29