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Louisiana rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,859.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.97 / $1,946.63 / $2,793.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,258.11 / $159,347.76 / $350,613.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $19,150.00 / $45,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.58 / $2,066.27 / $3,604.61