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Louisiana rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,753.64 / $5,046.17 / $7,167.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.86 / $5,046.17 / $7,313.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,655.55 / $13,078.36 / $18,383.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,220.81 / $6,244.79 / $6,244.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,541.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $10,680.11 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $4,387.97 / $6,157.94