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Louisiana rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.11 / $1,082.89 / $1,458.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.09 / $1,082.89 / $1,177.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.85 / $2,806.56 / $3,945.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.36 / $1,340.11 / $1,340.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $1,179.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $896.06 / $1,451.04