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Louisiana rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,823.63 / $2,997.39 / $4,257.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,823.63 / $2,997.39 / $4,344.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,547.35 / $7,768.46 / $10,919.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.12 / $3,709.37 / $3,709.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $6,712.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $2,709.08 / $4,008.86