go back

Louisiana rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $512.86 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $977.24 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $524.81 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $457.09