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Louisiana rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.28 / $175.45 / $249.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.62 / $175.45 / $254.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.18 / $454.73 / $639.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.53 / $217.13 / $217.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $197.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $155.53 / $235.11