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Louisiana rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.46 / $1,357.76 / $1,509.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,557.04 / $5,954.21 / $9,124.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.10 / $1,149.40 / $1,422.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.28 / $977.19 / $1,455.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.27 / $895.02 / $1,546.85