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Louisiana rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.06 / $717.28 / $1,057.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.08 / $259.08 / $259.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,534.06 / $5,533.66 / $10,692.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.95 / $785.98 / $1,034.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $451.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.79 / $753.65 / $1,110.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.39 / $699.35 / $1,322.42