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Louisiana rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,801.89 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,413.10 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,981.07 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,344.23 / $3,235.94