go back

Louisiana rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.70 / $249.14 / $353.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.13 / $249.14 / $361.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.97 / $645.70 / $907.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $308.32 / $308.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $203.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $216.64 / $260.55