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Louisiana rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $3.51 / $3.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.51 / $3.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.43 / $3.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.48 / $4.51