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Louisiana rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $1,440.00 / $1,440.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,440.00 / $1,440.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.00 / $1,368.00 / $2,052.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.00 / $1,368.00 / $1,395.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.00 / $1,200.00 / $1,614.95