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Louisiana rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.77 / $1,006.64 / $1,208.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.57 / $4,256.72 / $8,124.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.53 / $886.30 / $1,086.19
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
$568.53 / $774.68 / $1,135.24
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
$569.51 / $754.27 / $1,450.03