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Louisiana rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.75 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $449.90 / $625.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.87 / $2,865.56 / $6,578.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.99 / $495.69 / $613.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $330.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.46 / $479.73 / $663.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,433.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.70 / $395.51 / $692.50