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Louisiana rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $238.91 / $339.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.32 / $238.91 / $346.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.45 / $619.20 / $870.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.17 / $295.66 / $295.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $267.94 / $267.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $207.75 / $292.77