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Louisiana rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.92 / $487.16 / $691.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.87 / $487.16 / $706.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.63 / $477.63 / $477.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.07 / $1,262.58 / $1,774.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.02 / $602.88 / $602.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.52 / $743.52 / $743.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $397.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $423.62 / $624.71