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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
$933.25 / $2,691.53 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,709.64 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $2,951.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,511.89 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,370.32 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $3,311.31