go back

Louisiana rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,694.00 / $5,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.01 / $1,574.36 / $3,027.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,668.77 / $11,965.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.73 / $1,685.32 / $3,565.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $678.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.00 / $1,650.00 / $1,650.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.59 / $1,503.04 / $3,238.32
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
$1,439.39 / $2,226.30 / $3,822.04