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Louisiana rates for HCPCS L5505

Initial Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.36 / $1,596.94 / $2,268.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.65 / $1,596.94 / $2,314.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.71 / $4,138.84 / $5,817.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.21 / $1,976.26 / $1,976.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,620.00 / $1,620.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.94 / $2,783.46 / $2,783.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.32 / $1,388.64 / $1,651.78