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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
$363.08 / $489.78 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $426.58