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Louisiana rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $16.11 / $22.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.93 / $16.11 / $23.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.44 / $41.76 / $58.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.66 / $19.94 / $19.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $14.01 / $19.78