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Louisiana rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.76 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $136.78 / $254.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.40 / $132.40 / $132.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.06 / $282.05 / $419.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.81 / $124.21 / $234.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $120.14 / $213.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.46 / $172.88 / $267.76