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Louisiana rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

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
$877.73 / $1,237.50 / $1,672.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,773.78 / $9,682.37 / $14,166.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.29 / $1,247.83 / $1,732.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.78 / $9,905.61 / $9,905.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.18 / $1,341.04 / $1,780.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.44 / $1,123.93 / $1,989.15