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Louisiana rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,025.60 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,174.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,677.35 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,318.26