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Louisiana rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.36 / $129.88 / $174.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.43 / $129.88 / $141.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.06 / $336.65 / $473.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $160.75 / $160.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $136.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $104.44 / $155.06