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Louisiana rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,441.72 / $1,470.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,441.72 / $1,570.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $1,566.00 / $2,349.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.00 / $1,566.00 / $1,597.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.25 / $1,692.25 / $1,692.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.31 / $1,427.45 / $1,741.49