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Louisiana rates for HCPCS C9364

Porcine Implant Permacol Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $21.63 / $21.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $21.63 / $21.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $22.89 / $29.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39