go back

Louisiana rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.96 / $236.68 / $336.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $236.68 / $343.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.06 / $613.40 / $862.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $292.89 / $292.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $239.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $205.81 / $284.95