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Louisiana rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.86 / $414.92 / $589.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.84 / $414.92 / $601.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.47 / $1,075.35 / $1,511.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.27 / $513.47 / $513.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.63 / $316.63 / $316.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $472.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.66 / $367.78 / $532.07