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Louisiana rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.12 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.63 / $919.07 / $1,242.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.99 / $935.60 / $1,282.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $652.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.85 / $1,010.72 / $1,375.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.48 / $851.64 / $1,542.64