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Louisiana rates for HCPCS L5856

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,746.13 / $16,715.12 / $23,740.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,755.60 / $16,715.12 / $24,224.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,358.53 / $43,321.23 / $60,893.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,293.61 / $20,685.50 / $20,685.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,511.20 / $25,511.20 / $25,511.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $16,200.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $34,568.35 / $34,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $14,536.25 / $19,931.41