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Louisiana rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.57 / $387.00 / $549.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.33 / $387.00 / $560.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.12 / $1,003.00 / $1,409.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.39 / $478.92 / $478.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $434.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $434.07 / $434.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.36 / $343.03 / $474.28