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Louisiana rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.95 / $182.53 / $259.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.82 / $182.53 / $264.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.92 / $473.08 / $664.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.85 / $225.89 / $225.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $174.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $158.72 / $215.02