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Louisiana rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

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
$662.24 / $931.95 / $1,259.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.54 / $5,175.18 / $7,440.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.41 / $941.13 / $1,291.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $659.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.12 / $968.43 / $1,346.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,602.00 / $11,347.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.16 / $824.54 / $1,348.20