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Louisiana rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.64 / $54.82 / $73.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $53.11 / $59.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.17 / $142.08 / $199.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.72 / $67.84 / $67.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $52.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $44.08 / $63.15