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Louisiana rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.39 / $229.70 / $326.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.57 / $229.70 / $332.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.85 / $296.85 / $296.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.48 / $595.33 / $836.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.64 / $284.26 / $284.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.51 / $265.51 / $265.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $301.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $301.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $199.74 / $316.77