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Louisiana rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.13 / $122.22 / $173.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.27 / $122.22 / $177.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.42 / $316.76 / $445.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.45 / $151.24 / $151.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $106.28 / $138.94