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Louisiana rates for HCPCS 25575

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,690.44 / $9,682.37 / $14,106.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.58 / $5,245.52 / $5,245.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00