go back

Louisiana rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.45 / $1,706.37 / $2,423.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.12 / $1,706.37 / $2,473.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.73 / $4,422.47 / $6,216.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.42 / $2,111.69 / $2,111.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $3,373.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,512.51 / $2,195.59