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Louisiana rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.95 / $1,434.09 / $2,036.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.27 / $1,434.09 / $2,078.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.66 / $3,716.78 / $5,224.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.72 / $1,774.73 / $1,774.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,654.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,271.65 / $2,004.22