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Louisiana rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,670.50 / $13,343.80 / $22,332.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,453.91 / $16,453.91 / $16,453.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $15,266.27 / $23,310.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,897.68 / $15,012.30 / $25,175.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $15,308.56 / $26,940.79