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Louisiana rates for HCPCS 58540

Hysteroplasty Rpr Uterine Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,859.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.51 / $1,115.10 / $1,417.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.21 / $5,099.79 / $9,653.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.36 / $1,237.07 / $1,619.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.33 / $1,096.96 / $1,769.37
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
$839.42 / $1,150.25 / $1,943.27