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Louisiana rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.26 / $7,393.81 / $10,896.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,505.01 / $3,505.01 / $3,505.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.00 / $1,336.00 / $1,336.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00