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Louisiana rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $389.05 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $501.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $549.54
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
$245.47 / $316.23 / $524.81