go back

Louisiana rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.34 / $1,390.98 / $1,975.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.49 / $1,390.98 / $2,015.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.27 / $3,605.07 / $5,067.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.12 / $1,721.39 / $1,721.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,257.19 / $1,656.24