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Louisiana rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $398.11 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $645.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $676.08