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Louisiana rates for HCPCS 20956

Bone Graft Microvascular Anast Iliac Crest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,694.00 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.63 / $3,478.26 / $4,701.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,760.68 / $7,362.58 / $13,719.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.87 / $3,420.96 / $4,815.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,301.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,538.17 / $3,639.37 / $5,058.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,402.57 / $3,015.18 / $5,590.92