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Louisiana rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.98 / $1,957.45 / $2,780.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.77 / $1,957.45 / $2,836.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,969.66 / $5,073.21 / $7,131.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.20 / $2,422.41 / $2,422.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $3,818.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.78 / $1,702.13 / $2,207.19