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Louisiana rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,606.45 / $1,638.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,606.45 / $1,749.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $4,050.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $2,754.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.27 / $1,590.54 / $2,043.66