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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
$53.70 / $53.70 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $44.67 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $141.25 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $75.86 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $41.69 / $54.95