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Louisiana rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.64 / $117.45 / $166.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $117.45 / $170.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $115.16 / $115.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.19 / $304.39 / $427.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $145.34 / $145.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.44 / $136.44 / $136.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $99.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $101.22 / $135.30