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Louisiana rates for HCPCS 25246

Injection procedure for wrist arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $158.49 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $467.74 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $302.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $151.36 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $158.49 / $302.00