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Louisiana rates for HCPCS Q4176

Neopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $190.00 / $190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $190.00 / $190.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.24 / $165.24 / $247.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $165.24 / $168.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.16 / $167.51 / $204.36