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Louisiana rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

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
$696.21 / $1,002.10 / $1,354.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,724.31 / $12,170.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.96 / $985.16 / $1,345.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $683.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.32 / $1,019.48 / $1,370.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.48 / $853.76 / $1,610.76