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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
$47.95 / $65.02 / $85.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.83 / $75.38 / $100.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $99.61 / $177.20