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Louisiana rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.13 / $324.97 / $461.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.99 / $324.97 / $470.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.01 / $842.24 / $1,183.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $402.17 / $402.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $271.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $286.73 / $339.86