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Louisiana rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.03 / $2,585.94 / $3,672.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.38 / $2,585.94 / $3,747.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,380.81 / $3,380.81 / $3,380.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,923.13 / $6,702.08 / $9,420.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.43 / $3,200.19 / $3,200.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,502.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,248.64 / $3,079.07