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Louisiana rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.03 / $213.40 / $303.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.85 / $213.40 / $309.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.75 / $553.09 / $777.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.79 / $264.10 / $264.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $429.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $189.23 / $261.52