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Louisiana rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $9,120.11 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,202.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,318.26