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Louisiana rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.64 / $970.94 / $1,312.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.18 / $5,271.23 / $7,777.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.85 / $1,027.51 / $1,272.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $757.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.51 / $1,047.71 / $1,399.87
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
$652.05 / $838.22 / $1,560.69