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Louisiana rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,109.46 / $1,575.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.25 / $1,109.46 / $1,607.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.17 / $2,875.44 / $4,041.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.85 / $1,373.00 / $1,373.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,226.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $981.66 / $1,486.65