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Louisiana rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.02 / $403.41 / $572.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.85 / $403.41 / $584.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.52 / $395.52 / $395.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.01 / $1,045.53 / $1,469.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.37 / $499.24 / $499.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.66 / $468.66 / $468.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $329.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $350.79 / $464.71