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Louisiana rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $170.14 / $193.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $2,697.20 / $4,581.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.24 / $181.87 / $256.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.66 / $632.66 / $632.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $525.00 / $910.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.80 / $164.42 / $283.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.10 / $148.58 / $253.28