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Louisiana rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.60 / $2,846.62 / $4,043.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.31 / $2,846.62 / $4,125.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,318.62 / $7,377.70 / $10,370.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.14 / $3,522.79 / $3,522.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,721.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.37 / $2,475.32 / $3,389.45