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Louisiana rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.96 / $264.27 / $356.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.14 / $251.35 / $287.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.93 / $684.94 / $962.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.43 / $327.05 / $327.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $215.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $201.08 / $273.36