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Louisiana rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.59 / $126.95 / $180.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.67 / $126.95 / $183.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.59 / $329.01 / $462.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $157.11 / $157.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $170.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $112.56 / $156.94