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Louisiana rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.09 / $1,906.54 / $2,573.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.44 / $1,939.82 / $2,754.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.22 / $1,995.48 / $2,880.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.03 / $1,855.48 / $3,181.61