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Louisiana rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,548.13 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,137.96 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,137.96 / $5,623.41