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Louisiana rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,562.00 / $4,499.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.10 / $2,666.08 / $3,603.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.04 / $2,626.64 / $3,733.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,763.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.25 / $2,813.57 / $3,645.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $5,493.00 / $15,885.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.04 / $2,256.10 / $4,274.82