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Louisiana rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.52 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.55 / $392.12 / $596.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.08 / $2,134.39 / $3,102.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.14 / $409.62 / $613.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $218.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.08 / $425.64 / $666.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.71 / $418.29 / $751.31