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Louisiana rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.13 / $1,673.12 / $2,376.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.22 / $1,673.12 / $2,424.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.54 / $2,147.54 / $2,147.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,538.29 / $4,336.29 / $6,095.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.02 / $2,070.54 / $2,070.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.26 / $1,610.26 / $1,610.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $1,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,483.61 / $1,927.35