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Louisiana rates for HCPCS Q4151

Amnioband Or Guardian Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $136.22 / $138.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $136.22 / $161.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.13 / $150.13 / $225.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $150.13 / $153.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.25 / $127.25 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $134.88 / $148.72