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Louisiana rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.73 / $2,415.77 / $3,431.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.98 / $2,415.77 / $3,501.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,664.97 / $6,261.05 / $8,800.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.39 / $2,989.59 / $2,989.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,364.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,141.33 / $3,127.45