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Louisiana rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.98 / $1,263.21 / $1,794.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.98 / $1,263.21 / $1,830.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.42 / $3,273.91 / $4,601.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.94 / $1,563.26 / $1,563.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,539.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,608.67 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,098.56 / $1,504.11