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Louisiana rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,168.69 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,238.72 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,318.26 / $1,621.81