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Louisiana rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.05 / $1,372.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.83 / $588.87 / $820.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.77 / $1,308.22 / $2,979.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $647.69 / $801.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $432.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.21 / $631.64 / $865.25
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
$414.01 / $531.17 / $982.80