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Louisiana rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $90.64 / $92.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $90.64 / $98.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $118.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $80.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.28 / $89.75 / $174.37