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Louisiana rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.75 / $224.78 / $319.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.24 / $224.78 / $325.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.02 / $582.57 / $818.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.56 / $278.18 / $278.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $228.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.50 / $195.46 / $280.85