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Louisiana rates for HCPCS 25810

Arthrodesis Wrist W/Iliac/Other Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.00 / $2,447.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,212.84 / $12,517.17 / $27,360.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $774.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00