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Louisiana rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $537.03 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $288.40 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $269.15