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Louisiana rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $437 · 10th–90th $224–$1,1480%5%10%10th90th$437Professionalmedian $138 · 10th–90th $138–$1410%50%90th$138$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $501.19 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $141.25