go back

Louisiana rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.81 / $441.40 / $626.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.81 / $588.83 / $1,039.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.65 / $1,143.99 / $1,608.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.68 / $546.25 / $546.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $451.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $398.95 / $561.04