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Louisiana rates for HCPCS Q4250

Amnioamp-mp per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.56 / $3,009.35 / $3,068.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $3,009.35 / $3,277.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.00 / $2,565.00 / $3,847.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.00 / $2,565.00 / $2,616.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.90 / $2,810.90 / $2,979.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $2,979.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.06 / $2,979.56 / $3,284.96