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Louisiana rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,517.07 / $10,102.74 / $14,348.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,383.10 / $10,102.74 / $14,641.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,326.88 / $26,183.66 / $36,804.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,452.39 / $12,502.47 / $12,502.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,419.15 / $15,419.15 / $15,419.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $9,812.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $8,869.70 / $12,445.87