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Louisiana rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.74 / $2.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.09 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.00 / $1.32