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Louisiana rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.14 / $4,760.25 / $8,032.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.00 / $4,583.14 / $6,061.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.29 / $5,652.17 / $10,442.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,366.06 / $4,766.76 / $7,405.33
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
$1,772.79 / $3,167.43 / $6,056.92