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Louisiana rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.86 / $265.24 / $376.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $265.24 / $384.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.06 / $277.39 / $462.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.39 / $687.42 / $966.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.42 / $328.24 / $328.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.02 / $312.02 / $312.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $232.98 / $232.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.32 / $228.58 / $305.55