go back

Louisiana rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.69 / $1,102.60 / $1,566.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.19 / $1,102.60 / $1,597.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.04 / $1,081.04 / $1,081.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.78 / $2,857.69 / $4,016.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.78 / $1,364.51 / $1,364.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.94 / $1,280.94 / $1,280.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,200.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $958.79 / $1,153.10