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Louisiana rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $51.22 / $52.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $51.22 / $55.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $90.82 / $105.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $60.08 / $61.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $47.84 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.19 / $50.72 / $86.48