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Louisiana rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $153.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $153.75 / $153.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.13 / $64.13 / $96.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.13 / $64.13 / $65.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.74 / $128.13 / $172.44