go back

Louisiana rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $630.96 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $645.65 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $467.74