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Louisiana rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.44 / $1,102.98 / $1,490.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.88 / $4,922.68 / $6,940.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.10 / $1,077.24 / $1,580.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $758.36
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
$807.56 / $1,136.75 / $1,593.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,785.00 / $7,984.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.79 / $967.74 / $1,768.52