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Louisiana rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.81 / $506.16 / $718.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.26 / $506.16 / $733.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.89 / $1,311.83 / $1,843.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.66 / $626.39 / $626.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $624.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $440.14 / $623.54