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Louisiana rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.87 / $1,400.65 / $1,893.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.27 / $1,444.64 / $2,119.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $929.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.84 / $1,523.22 / $2,102.54
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
$953.11 / $1,267.07 / $2,251.40