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Louisiana rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,657.34 / $1,690.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,657.34 / $1,805.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.37 / $354.37 / $531.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.37 / $354.37 / $361.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.05 / $1,548.05 / $1,640.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.08 / $1,640.93 / $1,809.13