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Louisiana rates for HCPCS L5280

Hemipelvectomy 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
$3,785.56 / $4,018.52 / $5,707.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.07 / $4,018.52 / $5,823.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,096.50 / $10,414.95 / $14,639.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,157.60 / $4,973.05 / $4,973.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $4,728.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $8,148.31 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,494.36 / $4,698.14