go back

Louisiana rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.48 / $1,927.20 / $2,737.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.05 / $1,927.20 / $2,793.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,923.75 / $4,994.79 / $7,020.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.89 / $2,384.98 / $2,384.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,819.89 / $1,819.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,675.82 / $2,304.46