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Louisiana rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.50 / $819.84 / $1,108.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,685.25 / $9,663.12 / $13,753.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.94 / $830.75 / $1,134.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $584.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.27 / $874.29 / $1,181.72
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
$561.37 / $725.04 / $1,309.52