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Louisiana rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.81 / $308.85 / $375.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.38 / $4,608.04 / $6,666.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.77 / $340.51 / $434.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.86 / $337.48 / $485.70
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
$235.16 / $318.39 / $603.54