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Louisiana rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.99 / $683.30 / $923.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.62 / $3,108.45 / $6,755.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.99 / $699.62 / $944.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $499.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.19 / $715.78 / $985.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.99 / $592.22 / $1,095.60