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Louisiana rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $66.54 / $67.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $66.54 / $72.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.23 / $140.97 / $164.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.23 / $71.23 / $72.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $127.99