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Louisiana rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

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
$1,663.60 / $2,345.34 / $3,169.87
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
$1,942.95 / $2,424.76 / $3,578.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,523.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.71 / $2,504.44 / $3,495.69
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
$1,597.62 / $2,106.64 / $3,769.88