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Louisiana rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.54 / $5,175.18 / $7,440.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $664.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00