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Louisiana rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $354.81 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $676.08 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $363.08 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $338.84