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Louisiana rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,620.00 / $1,620.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.00 / $1,458.00 / $2,187.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.00 / $1,458.00 / $1,487.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.72 / $1,350.00 / $1,620.00