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Louisiana rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.16 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.16 / $2.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $60.00 / $60.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.52 / $2.81