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Louisiana rates for HCPCS Q4229

Cogenex Amniotic Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $465.97 / $475.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $465.97 / $507.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.71 / $551.71 / $827.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.71 / $551.71 / $562.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.37 / $461.36 / $562.86