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Louisiana rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.46 / $994.74 / $1,315.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.03 / $713.03 / $713.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,668.77 / $11,965.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.51 / $1,006.76 / $1,402.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $599.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.03 / $1,039.96 / $1,470.87
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
$725.49 / $960.18 / $1,685.98