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Louisiana rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $57.13 / $57.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $57.13 / $68.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.50 / $1,417.50 / $2,126.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.50 / $1,417.50 / $1,445.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $57.13 / $61.13