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Louisiana rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $924.24 / $942.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $924.24 / $1,006.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.42 / $544.42 / $816.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.42 / $544.42 / $555.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $863.29 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.48 / $915.09 / $1,116.41