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Louisiana rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.38 / $156.44 / $222.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.39 / $156.44 / $226.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.23 / $272.69 / $272.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.35 / $405.48 / $569.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.87 / $193.61 / $193.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $170.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $136.04 / $205.43