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Louisiana rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.04 / $257.99 / $366.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.88 / $257.99 / $373.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.40 / $668.65 / $939.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.92 / $319.27 / $319.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $318.35 / $318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $224.34 / $317.83