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Louisiana rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

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
$991.26 / $1,395.01 / $1,550.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $6,055.24 / $8,967.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.08 / $1,190.09 / $1,453.13
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
$684.07 / $1,068.50 / $1,444.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $3,520.00 / $8,784.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.92 / $944.40 / $1,604.46