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Louisiana rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.89 / $988.18 / $1,403.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.99 / $988.18 / $1,432.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.16 / $2,561.10 / $3,599.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.37 / $1,222.90 / $1,222.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $963.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $903.22 / $1,348.07