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Louisiana rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.89 / $1,465.86 / $2,081.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.08 / $1,465.86 / $2,124.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.86 / $3,799.14 / $5,340.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.60 / $1,814.05 / $1,814.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,599.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,274.66 / $1,688.61