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Louisiana rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $2,280.71 / $7,321.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $665.00 / $3,212.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.78 / $409.91 / $677.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.91 / $560.91 / $560.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.97 / $31.97 / $32.63