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Louisiana rates for HCPCS Q4112

Cymetra, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.68 / $915.68 / $915.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $915.68 / $915.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.29 / $892.29 / $1,338.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.29 / $892.29 / $910.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.64 / $872.08 / $1,173.64