go back

Louisiana rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.99 / $1,006.99 / $1,006.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $20.97 / $21.40