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Louisiana rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $184.00 / $187.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $184.00 / $200.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.40 / $200.40 / $300.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $200.40 / $204.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $171.87 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.10 / $182.18 / $222.26