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Louisiana rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.21 / $196.61 / $279.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $196.61 / $284.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $509.56 / $716.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.42 / $243.31 / $243.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $220.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $170.96 / $235.61