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Louisiana rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $67.81 / $71.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $67.81 / $83.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.75 / $91.30 / $106.39