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Louisiana rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $3,090.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $309.03 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,951.21 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $562.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $616.60