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Louisiana rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,280.79 / $2,421.14 / $3,438.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.62 / $2,421.14 / $3,508.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.12 / $6,274.97 / $8,820.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.92 / $2,996.24 / $2,996.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $2,482.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.98 / $2,182.50 / $2,202.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $2,105.34 / $2,619.44