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Louisiana rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $897.50 / $897.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $897.50 / $897.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $990.00 / $1,485.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.00 / $990.00 / $1,009.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.55 / $1,997.50 / $2,688.22