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Louisiana rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.33 / $291.20 / $413.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.23 / $291.20 / $422.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.79 / $754.73 / $1,060.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.29 / $360.38 / $360.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $280.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $253.22 / $373.43