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Louisiana rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.85 / $852.26 / $1,210.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.84 / $852.26 / $1,235.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.97 / $2,208.84 / $3,104.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.76 / $1,054.71 / $1,054.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,232.20 / $1,232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $770.28 / $1,141.43