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Louisiana rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,859.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.44 / $1,317.86 / $1,781.17
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
$1,078.34 / $1,300.33 / $1,794.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $875.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.36 / $1,335.42 / $1,901.56
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
$878.56 / $1,111.44 / $2,093.00