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Louisiana rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,715.35 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $977.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,230.27