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Louisiana rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.94 / $133.69 / $189.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.03 / $133.69 / $193.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.83 / $346.50 / $487.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.32 / $165.45 / $165.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $175.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $116.26 / $160.29