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Louisiana rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $2,418.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.93 / $646.72 / $874.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,955.95 / $6,621.62 / $11,438.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.59 / $668.93 / $1,009.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $440.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.75 / $689.30 / $992.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.40 / $606.66 / $1,039.53