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Louisiana rates for HCPCS 25605

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,100.00 / $3,813.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$474.05 / $499.76 / $828.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.17 / $666.35 / $1,007.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.41 / $554.41 / $596.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.33 / $1,418.82 / $3,277.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.80 / $713.81 / $948.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.65 / $831.10 / $831.10
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
$506.28 / $729.21 / $981.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.94 / $635.38 / $1,107.47