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Louisiana rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.00 / $547.76 / $777.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.17 / $547.76 / $793.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.75 / $954.75 / $954.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $1,419.64 / $1,995.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.72 / $677.87 / $677.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.21 / $585.21 / $585.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,107.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.38 / $629.41 / $635.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $485.53 / $733.98