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Louisiana rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,949.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,786.30 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $776.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $741.31