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Louisiana rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $112.20 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $213.80 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
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
$83.18 / $114.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $95.50