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Louisiana rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $537.03 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $245.47