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Louisiana rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.70 / $2.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.70 / $3.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $17.00 / $17.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.99 / $3.51