go back

Louisiana rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.65 / $1,172.63 / $1,665.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.75 / $1,172.63 / $1,699.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.99 / $3,039.14 / $4,271.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.21 / $1,451.16 / $1,451.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $1,367.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1,347.44 / $1,359.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,050.11 / $1,571.29