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Louisiana rates for HCPCS L5620

Addition To Lower Extremity Test Socket Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.46 / $255.26 / $362.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.99 / $255.26 / $369.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $266.94 / $444.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.25 / $661.56 / $929.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.10 / $315.89 / $315.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.75 / $306.75 / $306.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $209.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.04 / $219.98 / $221.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $221.96 / $266.95