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Louisiana rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.99 / $389.57 / $553.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.29 / $389.57 / $564.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.02 / $1,009.67 / $1,419.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.06 / $482.10 / $482.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $436.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $338.76 / $466.85