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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
$61.66 / $67.61 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $87.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $125.89 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $95.50 / $125.89