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Louisiana rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,691.53 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $9,332.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $2,630.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,238.72 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,248.07 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $2,951.21