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Louisiana rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,573.00 / $5,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.76 / $1,423.34 / $1,908.29
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
$1,060.15 / $1,430.66 / $1,918.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $845.69
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
$910.95 / $1,411.18 / $2,047.23
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
$998.38 / $1,335.34 / $2,408.73