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Louisiana rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,549.00 / $5,687.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.91 / $1,789.67 / $2,332.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,022.99 / $7,651.55 / $11,353.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.49 / $1,912.25 / $2,959.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,877.41 / $4,877.41 / $4,877.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.62 / $1,532.19 / $2,238.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.79 / $1,563.52 / $2,881.81