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Louisiana rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.43 / $347.58 / $493.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.06 / $347.58 / $503.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.32 / $900.84 / $1,266.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.61 / $430.14 / $430.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $903.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $314.16 / $485.77