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Louisiana rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,470.29 / $2,622.31 / $3,724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.13 / $2,622.31 / $3,800.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,978.31 / $6,796.34 / $9,553.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.06 / $3,245.20 / $3,245.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,370.07 / $3,185.32