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Louisiana rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,418.00 / $5,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.60 / $1,333.57 / $1,802.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $11,969.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.83 / $1,299.80 / $1,920.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $888.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.83 / $1,328.63 / $1,853.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.61 / $1,160.28 / $2,143.56