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Louisiana rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.92 / $37.07 / $52.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.46 / $37.07 / $53.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $96.07 / $135.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.34 / $45.87 / $45.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $37.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $32.85 / $44.41