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Louisiana rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $20.17 / $20.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.17 / $21.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $35.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $24.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.98 / $53.98 / $53.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $19.97 / $24.36