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Louisiana rates for HCPCS 90947

Dialysis Oth/Thn Hemodialy Repeat Phys/Qhp Evals

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $155.41 / $155.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.55 / $128.11 / $195.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.30 / $116.30 / $119.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $142.90 / $221.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.25 / $121.58 / $121.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $140.00 / $285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.70 / $146.97 / $262.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.38 / $123.93 / $209.88