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Louisiana rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.97 / $646.45 / $918.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.91 / $646.45 / $936.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.73 / $1,675.42 / $2,355.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.81 / $800.00 / $800.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $957.73 / $957.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $584.26 / $840.91