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Louisiana rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.65 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.22 / $895.06 / $1,209.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.08 / $927.17 / $1,151.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $662.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.78 / $948.31 / $1,266.67
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
$594.53 / $761.29 / $1,435.15