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Louisiana rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,611.92 / $2,772.67 / $3,937.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,611.92 / $2,772.67 / $4,018.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,206.42 / $7,186.03 / $10,100.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,868.63 / $3,431.27 / $3,431.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $6,412.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.34 / $2,505.98 / $3,823.86