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Louisiana rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $102.73 / $104.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $102.73 / $122.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $112.40 / $168.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $112.40 / $114.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.65 / $101.72 / $124.10