go back

Louisiana rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.15 / $134.97 / $181.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.35 / $128.37 / $146.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $349.83 / $491.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $167.03 / $167.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $121.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.68 / $102.54 / $141.16