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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
$354.97 / $376.82 / $535.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.12 / $376.82 / $546.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.66 / $976.61 / $1,372.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.86 / $466.31 / $466.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $452.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $819.40 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $327.67 / $472.45