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Louisiana rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,681.72 / $8,553.98 / $11,892.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.50 / $6,540.10 / $6,540.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00