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Louisiana rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,659.84 / $3,885.07 / $5,517.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,284.40 / $3,885.07 / $5,630.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,894.04 / $10,069.08 / $14,153.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,019.53 / $4,807.89 / $4,807.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $4,366.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.23 / $3,511.38 / $4,982.01