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Louisiana rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.98 / $1,376.13 / $1,859.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.33 / $1,338.85 / $1,876.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $966.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.34 / $1,436.15 / $1,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.23 / $1,214.06 / $2,134.14