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Louisiana rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.62 / $1,928.41 / $2,738.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.61 / $1,928.41 / $2,794.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,925.60 / $4,997.93 / $7,025.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.15 / $2,386.46 / $2,386.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,283.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,676.88 / $2,059.96