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Louisiana rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $6,055.24 / $8,967.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.90 / $2,592.90 / $2,592.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.00 / $689.00 / $689.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00