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Louisiana rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $34.67 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $52.48 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.18 / $48.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $48.98 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.98 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $25.70 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.49 / $35.48