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Louisiana rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,524.35 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.75 / $2,524.35 / $3,411.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.62 / $2,511.28 / $3,877.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,641.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.96 / $2,697.46 / $3,677.40
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
$1,719.09 / $2,354.87 / $4,047.56