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Louisiana rates for HCPCS Q4140

BioDFence, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $163.24 / $166.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $163.24 / $177.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.81 / $185.81 / $278.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.81 / $185.81 / $189.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $152.47 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.56 / $161.62 / $217.51