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Louisiana rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.15 / $1,571.23 / $2,231.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.15 / $1,571.23 / $2,277.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.71 / $4,072.23 / $5,724.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.61 / $1,944.45 / $1,944.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,711.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,393.26 / $2,143.46