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Louisiana rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.00 / $463.89 / $658.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.81 / $463.89 / $672.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.35 / $598.35 / $808.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.77 / $1,202.29 / $1,689.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.96 / $574.09 / $574.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $403.39 / $485.15