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Louisiana rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $165.96 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $316.23 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $169.82 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $100.00 / $123.03