go back

Louisiana rates for HCPCS 23170

Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,897.79 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $912.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,000.00