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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
$123.03 / $165.96 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $316.23 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $169.82 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $134.90