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Louisiana rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $1,880.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.45 / $891.10 / $1,165.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.36 / $2,165.67 / $3,102.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.08 / $942.26 / $1,194.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $588.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.29 / $948.86 / $1,358.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.42 / $813.38 / $1,470.63