go back

Louisiana rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

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
$703.62 / $991.18 / $1,339.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.66 / $5,937.24 / $10,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.21 / $999.94 / $1,389.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $699.43
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
$743.81 / $1,074.96 / $1,477.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.45 / $891.17 / $1,593.21