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Louisiana rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,498.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.67 / $2,196.98 / $2,969.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.53 / $8,674.20 / $12,192.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.82 / $2,169.19 / $2,809.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,492.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.65 / $2,242.00 / $3,177.16
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
$1,480.35 / $1,872.73 / $3,531.42