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Louisiana rates for HCPCS L6925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,019.43 / $5,328.32 / $7,567.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,617.97 / $5,328.32 / $7,722.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,083.60 / $13,809.61 / $19,411.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,512.73 / $6,593.96 / $6,593.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $12,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $4,763.00 / $7,109.25