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Louisiana rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $25.02 / $25.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $25.02 / $25.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $22.52 / $33.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $22.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $21.48 / $25.02