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Louisiana rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,318.26 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $794.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,174.90 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $831.76