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Louisiana rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

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
$661.95 / $929.88 / $1,256.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,725.91 / $9,682.37 / $14,166.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.08 / $940.27 / $1,255.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $660.43
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
$699.60 / $1,010.14 / $1,386.87
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
$646.25 / $860.78 / $1,494.68