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Louisiana rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.14 / $2,082.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.99 / $835.41 / $1,221.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.30 / $3,728.94 / $5,324.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.40 / $856.59 / $1,057.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.21 / $1,090.21 / $1,090.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.77 / $749.20 / $1,135.92
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
$573.50 / $792.74 / $1,327.78