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Louisiana rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.87 / $291.77 / $414.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.67 / $291.77 / $422.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $305.14 / $508.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.66 / $756.22 / $1,062.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.88 / $361.08 / $361.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.24 / $343.24 / $343.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $248.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $253.72 / $305.14