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Louisiana rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.59 / $2,530.27 / $3,593.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.89 / $2,530.27 / $3,667.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.03 / $3,308.03 / $3,308.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,838.68 / $6,557.80 / $9,217.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.84 / $3,131.28 / $3,131.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,674.39 / $3,674.39 / $3,674.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $2,448.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.42 / $2,242.81 / $3,012.78