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Louisiana rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.94 / $1,319.00 / $3,884.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$277.29 / $296.95 / $483.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.11 / $381.68 / $549.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.57 / $492.94 / $970.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.47 / $436.81 / $540.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $314.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.42 / $435.20 / $582.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.50 / $368.69 / $655.94