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Louisiana rates for HCPCS Q4175

MiroDerm Bio Matrix Fenestrat EX SHEE 2X2CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $92.45 / $94.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $92.45 / $100.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.42 / $75.42 / $113.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.42 / $75.42 / $76.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $91.54 / $111.68