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Louisiana rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $25,704 · 10th–90th $16,596–$52,4810%10%20%10th90th$25,704Professionalmedian $14,791 · 10th–90th $12,023–$23,9880%20%10th90th$14,791$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $22,387.21 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $23,988.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $43,651.58 / $60,255.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $25,703.96 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,988.33 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $13,803.84 / $19,952.62