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Louisiana rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,694.00 / $4,685.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.84 / $3,211.25 / $4,340.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,833.75 / $8,018.26 / $8,291.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.74 / $3,151.96 / $4,611.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,218.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.00 / $3,397.08 / $4,741.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.69 / $2,818.20 / $5,148.93