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Louisiana rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.85 / $1,944.58 / $2,761.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.85 / $1,944.58 / $2,818.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.12 / $5,039.84 / $7,084.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.87 / $2,406.48 / $2,406.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,967.88 / $2,967.88 / $2,967.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $4,123.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,720.58 / $2,605.67