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Louisiana rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.17 / $397.20 / $564.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.10 / $397.20 / $575.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.59 / $1,029.43 / $1,447.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $491.54 / $491.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $432.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $456.41 / $460.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $352.07 / $532.23