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Louisiana rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.63 / $887.17 / $1,199.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,773.78 / $9,196.65 / $14,481.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.86 / $895.71 / $1,241.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $628.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.49 / $964.20 / $1,324.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,420.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $820.93 / $1,426.03