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Louisiana rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.71 / $40.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.71 / $43.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,026.00 / $1,539.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.00 / $1,026.00 / $1,046.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $39.31 / $52.90