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Louisiana rates for HCPCS 25109

Exc Tendon Forearm&/Wrist Flexor/Extensor Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.87 / $2,397.00 / $4,392.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.54 / $4,965.46 / $6,815.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.21 / $3,776.13 / $3,776.13
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