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Louisiana rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,860.69 / $3,945.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,628.89 / $16,692.36 / $38,321.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,037.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.00 / $1,802.00 / $1,802.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,474.00 / $9,160.00