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Louisiana rates for HCPCS Q4227

AmnioCore Amniotic Membrane EX SHEE 2 CM X 12 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,184.28 / $1,207.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,184.28 / $1,289.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.00 / $486.00 / $729.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $486.00 / $495.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.19 / $1,106.19 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.93 / $1,172.56 / $1,292.75