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Louisiana rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $67.61 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $141.25