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Louisiana rates for HCPCS 57335

Vaginoplasty Intersex State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.03 / $1,460.44 / $1,774.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,289.47 / $7,668.70 / $12,471.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.89 / $1,586.09 / $2,027.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.44 / $1,406.66 / $2,269.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.27 / $1,463.55 / $2,483.31