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Louisiana rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.00 / $1,299.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.33 / $560.60 / $778.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.88 / $4,910.38 / $6,937.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.37 / $578.22 / $822.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $329.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.63 / $579.58 / $863.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,785.00 / $7,984.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.40 / $537.34 / $946.56