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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
$691.83 / $1,949.84 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $912.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $562.34 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $912.01