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Louisiana rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $352.51 / $359.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $352.51 / $383.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.56 / $396.56 / $594.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.56 / $396.56 / $404.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $329.26 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.62 / $349.02 / $436.28