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Louisiana rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.00 / $2,418.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.91 / $1,098.79 / $1,485.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,725.91 / $9,682.37 / $14,166.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.39 / $1,106.35 / $1,530.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.56 / $495.56 / $495.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.92 / $1,149.34 / $1,584.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.03 / $957.07 / $1,761.81