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Louisiana rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

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
$1,063.47 / $1,522.27 / $2,057.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,685.25 / $11,197.61 / $26,204.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.34 / $1,518.21 / $2,127.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,042.03
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
$1,127.97 / $1,636.48 / $2,201.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.00 / $7,450.00 / $15,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.08 / $1,399.07 / $2,446.88