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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
$193.43 / $205.33 / $291.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.25 / $205.33 / $297.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.51 / $532.16 / $748.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.44 / $254.11 / $254.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $297.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $178.55 / $275.14