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Louisiana rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.02 / $1,899.11 / $2,697.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.25 / $1,899.11 / $2,752.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.14 / $2,641.22 / $3,310.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.15 / $4,922.01 / $6,918.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.85 / $2,350.21 / $2,350.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.94 / $2,028.94 / $2,028.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $1,721.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.22 / $3,674.38 / $3,674.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,651.40 / $2,118.58