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Louisiana rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.85 / $1,234.20 / $1,633.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.66 / $1,233.65 / $1,741.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.13 / $1,266.67 / $1,830.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.41 / $1,165.15 / $2,026.25