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Louisiana rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.82 / $52.88 / $75.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $52.88 / $76.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.23 / $137.06 / $192.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.71 / $65.44 / $65.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $45.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $45.98 / $58.01