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Louisiana rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.13 / $3,000.04 / $4,260.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.84 / $3,000.04 / $4,347.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,551.37 / $7,775.33 / $10,929.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,103.88 / $3,712.66 / $3,712.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $3,670.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $2,608.73 / $3,524.39