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Louisiana rates for HCPCS Q4218

Surgicord Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $150.00 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.25 / $118.80 / $136.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $137.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.52 / $150.00 / $165.38