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Louisiana rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $108.04 / $110.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $108.04 / $117.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.66 / $41.66 / $62.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $42.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.64 / $106.97 / $117.93