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Louisiana rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.96 / $395.92 / $562.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.87 / $395.92 / $573.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.64 / $517.64 / $552.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.64 / $1,026.10 / $1,442.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.61 / $489.96 / $489.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.51 / $461.51 / $461.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $380.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $357.83 / $540.10