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Louisiana rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $125.89 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $239.88 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $75.86 / $93.33