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Louisiana rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $944.99 / $1,327.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.09 / $6,654.41 / $11,124.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.25 / $1,026.61 / $1,489.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $703.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.27 / $1,101.67 / $1,473.12
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
$676.10 / $878.92 / $1,578.48