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Louisiana rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $1,242.04 / $1,678.70
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
$1,005.55 / $1,243.20 / $1,610.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $860.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.21 / $1,337.47 / $1,846.91
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
$861.09 / $1,105.93 / $2,084.76