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Louisiana rates for HCPCS Q4118

Matristem Micromatrix 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.57 / $2.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.57 / $2.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.30 / $4.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.54 / $3.10