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Louisiana rates for HCPCS Q4132

Grafix Core And Grafixpl Core Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.70 / $107.77 / $109.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $107.77 / $128.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.25 / $154.49 / $180.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $42.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $100.66 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.38 / $106.70 / $222.90