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Louisiana rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,680.92 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.20 / $2,805.78 / $3,792.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.32 / $2,787.42 / $3,976.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,815.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.71 / $2,994.81 / $3,958.08
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
$1,908.05 / $2,581.48 / $4,498.79