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Louisiana rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.00 / $2,573.00 / $5,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.71 / $920.48 / $1,248.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.12 / $3,006.60 / $6,579.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.66 / $986.14 / $1,281.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $554.99
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
$623.36 / $958.28 / $1,366.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.96 / $868.14 / $1,576.16