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Louisiana rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,498.00 / $5,858.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.86 / $1,639.88 / $2,300.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,490.14 / $7,001.74 / $11,656.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.68 / $1,695.53 / $2,493.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.94 / $10,317.70 / $10,317.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.01 / $1,835.15 / $2,506.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,913.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.81 / $1,510.84 / $2,736.03