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Louisiana rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.65 / $985.80 / $1,400.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.86 / $985.80 / $1,428.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.55 / $2,554.92 / $3,591.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.92 / $1,219.96 / $1,219.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,494.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,718.25 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $857.21 / $1,019.65