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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
$501.19 / $676.08 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $602.56