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Louisiana rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,475.46 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.29 / $2,057.52 / $2,780.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.77 / $2,006.79 / $2,864.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,396.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.94 / $2,156.82 / $2,979.72
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
$1,394.97 / $1,782.82 / $2,995.48