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Louisiana rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.57 / $1,215.19 / $1,351.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,402.76 / $4,118.68 / $7,458.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,022.48 / $1,254.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.00 / $689.00 / $689.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.70 / $941.52 / $1,263.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.49 / $807.32 / $1,397.64