go back

Louisiana rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $52.36 / $74.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $52.36 / $75.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $135.69 / $190.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $64.79 / $64.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.18 / $456.18 / $456.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $50.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $46.40 / $64.14