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Louisiana rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,500.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $11,969.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.58 / $1,560.51 / $1,560.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00