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Louisiana rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.32 / $677.55 / $883.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.85 / $595.70 / $1,069.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.37 / $712.31 / $954.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $444.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.12 / $700.49 / $1,015.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.13 / $652.09 / $1,115.23