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Louisiana rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.08 / $2,573.00 / $5,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.72 / $786.08 / $1,049.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,760.17 / $6,495.38 / $10,664.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.80 / $803.05 / $1,040.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $473.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.00 / $1,650.00 / $1,650.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $770.58 / $1,100.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.78 / $742.19 / $1,192.51