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Louisiana rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.61 / $394.48 / $560.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.04 / $394.48 / $571.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.46 / $439.46 / $439.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.47 / $1,022.39 / $1,437.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.13 / $488.19 / $488.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.97 / $360.97 / $360.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $679.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $343.03 / $454.41