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Louisiana rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $3,245.00 / $6,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.13 / $1,318.18 / $1,614.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,773.78 / $9,682.37 / $14,166.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.73 / $680.43 / $1,886.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.80 / $836.83 / $1,822.67
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
$946.86 / $1,373.02 / $2,260.08