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Louisiana rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,392.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,258.11 / $13,454.27 / $28,690.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,344.75 / $7,344.75 / $7,344.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00