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Louisiana rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.03 / $152.90 / $217.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.64 / $152.90 / $221.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.96 / $396.27 / $557.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $189.22 / $189.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $166.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $138.19 / $204.88