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Louisiana rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $139.31 / $142.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $139.31 / $151.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.88 / $140.88 / $211.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.88 / $140.88 / $143.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.06 / $137.93 / $168.27