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Louisiana rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.95 / $934.89 / $1,086.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $5,508.32 / $7,785.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.70 / $835.52 / $996.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.56 / $769.96 / $1,029.80
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
$491.16 / $666.03 / $1,238.25