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Louisiana rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,754.23 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $275.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,479.11 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $281.84