go back

Louisiana rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,448.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.08 / $1,990.11 / $2,689.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.53 / $5,970.03 / $11,124.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.50 / $1,959.30 / $2,727.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,312.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.47 / $2,091.59 / $2,720.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.00 / $5,200.00 / $12,452.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.93 / $1,731.90 / $2,922.24