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Louisiana rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $559.47 / $570.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $559.47 / $609.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.70 / $272.70 / $409.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $278.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $522.58 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.27 / $553.94 / $675.81