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Louisiana rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.95 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.74 / $908.68 / $1,228.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.32 / $918.07 / $1,178.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $642.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.65 / $986.15 / $1,356.33
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
$591.69 / $816.26 / $1,460.61