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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
$3,019.95 / $4,073.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,168.69 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,630.27 / $3,890.45