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Louisiana rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.85 / $460.55 / $654.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.52 / $460.55 / $667.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.54 / $802.74 / $802.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.70 / $1,193.61 / $1,677.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.49 / $569.95 / $569.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.76 / $541.76 / $541.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $382.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $400.48 / $476.36