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Louisiana rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.11 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.25 / $766.26 / $851.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $5,301.49 / $7,654.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.88 / $644.28 / $851.56
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
$352.01 / $547.10 / $815.59
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
$387.06 / $523.53 / $884.33