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Louisiana rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.30 / $1,592.63 / $2,262.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.36 / $1,592.63 / $2,308.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.17 / $4,127.68 / $5,802.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.74 / $1,970.93 / $1,970.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $1,786.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,384.90 / $1,951.75