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Louisiana rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $125.04 / $127.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $125.04 / $136.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.27 / $141.27 / $211.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.27 / $141.27 / $144.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $116.79 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $123.80 / $153.01