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Louisiana rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.22 / $659.45 / $936.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.72 / $659.45 / $955.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.45 / $1,709.11 / $2,402.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.27 / $816.08 / $816.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.47 / $1,006.47 / $1,006.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $895.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $596.02 / $857.13