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Louisiana rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,691.53 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $6,165.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $9,772.37 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,230.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $5,888.44 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,258.93