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Louisiana rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

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
$1,403.74 / $1,928.14 / $2,698.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.09 / $6,654.41 / $11,124.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.83 / $1,973.92 / $2,743.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,361.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.70 / $2,039.89 / $2,930.95
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
$1,374.72 / $1,735.02 / $2,952.93