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Louisiana rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.09 / $90.32 / $128.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $90.32 / $130.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.03 / $234.09 / $329.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.44 / $111.78 / $111.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $97.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $97.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $80.05 / $111.90