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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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.87 / $952.25 / $1,287.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,697.66 / $9,145.96 / $13,354.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.40 / $961.54 / $1,322.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $673.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.28 / $987.13 / $1,372.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $833.54 / $1,526.83