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Louisiana rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.44 / $333.79 / $474.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.36 / $333.79 / $483.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $327.27 / $327.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.40 / $865.11 / $1,216.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.35 / $413.09 / $413.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.45 / $509.45 / $509.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $311.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $311.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $290.26 / $349.09