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Louisiana rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.87 / $299.83 / $299.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $332.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.75 / $90.59 / $171.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $183.75 / $187.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $120.44 / $444.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $26.83 / $354.00