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Louisiana rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $295.05 / $419.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.16 / $295.05 / $427.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.26 / $364.26 / $364.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.62 / $764.69 / $1,074.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.26 / $365.14 / $365.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.16 / $225.16 / $225.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $293.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $564.00 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $256.57 / $325.19