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Louisiana rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

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
$637.14 / $864.24 / $1,168.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.67 / $876.56 / $1,314.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $628.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.01 / $944.44 / $1,294.33
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
$607.66 / $790.79 / $1,385.73