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Louisiana rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.44 / $1,972.81 / $2,801.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.55 / $1,972.81 / $2,859.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.19 / $2,579.19 / $2,579.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,992.95 / $5,113.00 / $7,187.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.09 / $2,441.41 / $2,441.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,533.73 / $2,533.73 / $2,533.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $1,715.64 / $2,526.89