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Louisiana rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,921.65 / $1,959.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,921.65 / $2,092.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,584.91 / $2,584.91 / $3,877.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,584.91 / $2,584.91 / $2,636.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $1,794.93 / $1,902.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.79 / $1,902.62 / $2,321.19