go back

Louisiana rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.99 / $57.31 / $77.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.78 / $57.31 / $62.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.95 / $148.54 / $208.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.30 / $70.92 / $70.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $66.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $117.18 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $47.35 / $67.56