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Louisiana rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate 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
$666.75 / $921.11 / $1,293.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,212.84 / $12,538.59 / $27,360.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.71 / $966.79 / $1,339.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $676.29
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
$719.13 / $1,039.60 / $1,427.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $6,245.00 / $21,067.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.51 / $884.84 / $1,537.97