go back

Louisiana rates for HCPCS G0517

Removal of nonbiodegradable drug delivery implants, four or more (services for subdermal implants)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $150.07 / $184.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.82 / $710.05 / $1,077.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $124.87 / $261.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.04 / $300.95 / $490.90