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Louisiana rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,609.84 / $1,708.91 / $2,427.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.32 / $1,708.91 / $2,476.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.59 / $4,429.05 / $6,225.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.05 / $2,114.82 / $2,114.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $1,902.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,486.01 / $2,261.29