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Louisiana rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,454.48 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.12 / $2,040.08 / $2,757.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.10 / $2,013.13 / $2,913.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,388.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.13 / $2,182.34 / $2,894.02
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
$1,408.96 / $1,823.36 / $2,951.31