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Louisiana rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,023.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,202.26
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
$549.54 / $676.08 / $1,148.15