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Louisiana rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.58 / $1,686.46 / $2,366.53
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
$1,475.18 / $1,740.73 / $2,532.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,209.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.82 / $1,884.52 / $2,575.71
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
$1,207.46 / $1,540.03 / $2,814.48