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Louisiana rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.76 / $418.00 / $593.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.50 / $418.00 / $605.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.14 / $1,083.33 / $1,522.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.46 / $517.28 / $517.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $420.01 / $420.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $363.47 / $516.74