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Louisiana rates for HCPCS L6694

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.23 / $504.48 / $716.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.22 / $504.48 / $731.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.35 / $1,307.48 / $1,837.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.94 / $624.30 / $624.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.74 / $528.74 / $528.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.98 / $528.74 / $528.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $438.68 / $616.57