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Louisiana rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $180.00 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.00 / $171.00 / $256.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $174.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.03 / $180.00 / $198.45