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Louisiana rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.54 / $1,178.10 / $1,431.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.29 / $3,033.34 / $6,009.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.97 / $1,292.16 / $1,696.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.31 / $1,145.51 / $1,849.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.92 / $1,192.94 / $2,003.23