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Louisiana rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.82 / $200.44 / $284.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $200.44 / $290.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.08 / $519.48 / $730.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.38 / $248.05 / $248.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $302.83 / $302.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.29 / $224.66 / $226.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $177.67 / $261.98