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Louisiana rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,398.83 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,011.87 / $7,585.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38