go back

Louisiana rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.79 / $620.14 / $838.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.82 / $1,418.82 / $3,281.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.77 / $648.33 / $856.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $467.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.47 / $662.25 / $884.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,433.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.32 / $539.01 / $994.33