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Louisiana rates for HCPCS L5699

All Lower Extremity Prostheses Shoulder Harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.95 / $128.40 / $182.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.95 / $128.40 / $186.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.79 / $332.77 / $467.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.83 / $158.88 / $158.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $285.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $113.56 / $172.04