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Louisiana rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $46 · 10th–90th $14–$4270%10%10th90th$46Professionalmedian $35 · 10th–90th $11–$930%5%10%10th90th$35$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $123.03 / $426.58
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.13 / $14.13
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $32.36 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $19.05 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $33.88 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $37.15 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $10.23 / $12.02
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $51.29 / $72.44
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $13.18 / $19.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $35.48 / $58.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Christus
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $28.84 / $29.51
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.11 / $66.07
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $7.59 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $26.30 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $12.02 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $31.62 / $74.13