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Louisiana rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.79 / $1,320.34 / $1,875.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.57 / $1,320.34 / $1,913.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.08 / $3,421.97 / $4,810.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.03 / $1,633.95 / $1,633.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,232.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $1,148.11 / $1,380.80