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Louisiana rates for HCPCS 25001

Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.73 / $1,300.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.69 / $4,548.21 / $6,578.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $330.83
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
$746.00 / $2,415.00 / $7,085.00