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Louisiana rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.65 / $156.72 / $222.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $156.72 / $227.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.78 / $406.21 / $570.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $193.96 / $193.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $159.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $136.29 / $187.40