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Louisiana rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,718.59 / $5,008.97 / $7,114.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.43 / $5,008.97 / $7,259.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,599.11 / $12,981.93 / $18,247.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,182.32 / $6,198.75 / $6,198.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $6,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.25 / $4,355.62 / $5,964.13