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Louisiana rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.36 / $110.08 / $110.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $110.08 / $1,048.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.99 / $223.06 / $325.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $1,026.98 / $1,026.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $127.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $77.70 / $128.34