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Louisiana rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $321.18 / $327.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $321.18 / $349.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.86 / $300.86 / $451.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.86 / $300.86 / $306.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.14 / $318.00 / $397.50