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Louisiana rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.69 / $1,246.98 / $1,771.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.73 / $1,246.98 / $1,807.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.80 / $3,231.85 / $4,542.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.14 / $1,543.18 / $1,543.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,056.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $1,084.33 / $1,289.81