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Louisiana rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.96 / $2,090.00 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.33 / $749.88 / $1,001.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $5,305.91 / $7,570.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.22 / $677.99 / $841.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.44 / $441.44 / $441.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.50 / $592.27 / $898.64
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
$438.53 / $596.04 / $1,018.68