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Louisiana rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.02 / $1,563.37 / $2,205.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.86 / $5,379.73 / $10,265.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.36 / $1,678.82 / $2,251.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.22 / $1,487.42 / $2,406.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.06 / $1,581.94 / $2,658.32