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Louisiana rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,518.72 / $4,518.72 / $4,518.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $147.40 / $2,673.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40