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Louisiana rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.31 / $366.56 / $520.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.04 / $366.56 / $531.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.11 / $950.03 / $1,335.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.24 / $453.63 / $453.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $493.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.55 / $763.01 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $320.95 / $452.79