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Louisiana rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,949.84 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,754.40 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $707.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,786.30 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $691.83