go back

Louisiana rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.29 / $1,741.24 / $2,473.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.77 / $1,741.24 / $2,523.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,641.63 / $4,512.83 / $6,343.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.49 / $2,154.84 / $2,154.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $1,952.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,573.75 / $2,232.87