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Louisiana rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece 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
$1,297.32 / $1,818.60 / $2,457.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $12,075.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.44 / $1,794.63 / $2,624.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,245.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.26 / $1,943.17 / $2,655.22
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
$1,249.64 / $1,596.73 / $2,923.20