go back

Louisiana rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,694.87 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.72 / $2,784.52 / $3,763.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,423.49 / $10,412.62 / $16,397.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.94 / $2,816.85 / $3,465.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,021.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.33 / $2,811.95 / $3,984.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $5,867.00 / $15,885.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.73 / $2,240.00 / $4,464.70