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Louisiana rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.57 / $489.97 / $695.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.91 / $489.97 / $710.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.33 / $1,269.86 / $1,784.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.92 / $606.35 / $606.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $895.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $426.06 / $531.08