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Louisiana rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $15.60 / $15.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $14.04 / $21.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $14.04 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.00 / $14.95