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Louisiana rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $999.38 / $1,350.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,725.91 / $9,682.37 / $14,166.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.35 / $1,006.04 / $1,397.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $701.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.18 / $1,080.67 / $1,487.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.24 / $923.02 / $1,606.40