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Louisiana rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.79 / $2,343.65 / $3,328.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.48 / $2,343.65 / $3,396.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,555.56 / $6,074.14 / $8,538.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.77 / $2,900.34 / $2,900.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,710.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,118.23 / $3,005.38