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Louisiana rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.00 / $2,418.00 / $5,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.60 / $1,041.48 / $1,407.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,862.06 / $19,626.43 / $38,321.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.72 / $1,054.04 / $1,418.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $721.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.36 / $1,080.78 / $1,502.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $8,932.00 / $22,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.14 / $898.98 / $1,669.92