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Louisiana rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.19 / $1,100.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$859.95 / $859.95 / $859.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.35 / $421.12 / $625.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.80 / $29.80 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $669.00 / $1,817.00