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Louisiana rates for HCPCS Q4221

Amniowrap2 Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.00 / $1,980.61 / $2,019.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,980.61 / $2,157.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $2,160.00 / $3,240.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.00 / $2,160.00 / $2,203.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,961.00 / $1,961.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.26 / $1,961.00 / $2,255.15