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Louisiana rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.83 / $1,174.95 / $1,668.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.63 / $1,174.95 / $1,702.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.51 / $3,045.15 / $4,280.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.60 / $1,454.04 / $1,454.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $1,317.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $1,021.69 / $1,399.02