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Louisiana rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.62 / $308.50 / $438.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.43 / $308.50 / $447.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $403.29 / $403.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.02 / $799.55 / $1,123.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.18 / $381.78 / $381.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $448.00 / $448.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $260.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $268.26 / $322.63