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Louisiana rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.82 / $1,850.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.40 / $5,144.76 / $7,311.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $571.28
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
$1,039.00 / $3,722.00 / $9,060.41