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Louisiana rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,412.54