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Louisiana rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

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
$592.70 / $804.61 / $1,087.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.25 / $3,063.05 / $5,754.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.23 / $840.54 / $1,043.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $605.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.66 / $849.47 / $1,147.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.15 / $672.85 / $1,290.10