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Louisiana rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,498.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.13 / $2,277.91 / $3,078.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.50 / $2,235.69 / $3,145.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,492.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.83 / $2,325.35 / $3,277.39
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
$1,549.46 / $1,926.31 / $3,566.67