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Louisiana rates for HCPCS 25600

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$812.83 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$239.88 / $446.68 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $489.78 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $549.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $562.34