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Louisiana rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $588.84 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $588.84