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Louisiana rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

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
$484.24 / $766.70 / $1,074.81
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
$646.08 / $809.03 / $1,014.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $573.76
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
$532.55 / $854.25 / $1,162.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.00 / $5,010.00 / $12,452.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.87 / $725.49 / $1,334.80