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Louisiana rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.12 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.63 / $822.97 / $1,147.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.40 / $2,238.38 / $4,854.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.20 / $799.40 / $989.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.04 / $667.86 / $1,073.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $721.77 / $1,244.76