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Louisiana rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.51 / $644.89 / $915.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.51 / $644.89 / $934.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.37 / $1,671.40 / $2,349.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.22 / $798.08 / $798.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $702.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $571.63 / $864.14