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Louisiana rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,964.78 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $30,902.95 / $43,651.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $16,595.87 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $10,232.93 / $14,454.40