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Louisiana rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.63 / $159.91 / $227.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $159.91 / $231.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.61 / $414.46 / $582.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.46 / $197.89 / $197.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $225.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $172.06 / $173.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $144.55 / $200.64