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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
$257.04 / $346.74 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $676.08 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $302.00