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Louisiana rates for HCPCS 58240

Pel Exntj Gynecologic Mal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,245.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.46 / $3,604.23 / $4,378.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,773.68 / $3,927.00 / $5,108.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.55 / $3,503.03 / $5,634.53
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
$2,622.61 / $3,625.45 / $6,128.58