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Louisiana rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.36 / $69.38 / $93.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $67.20 / $75.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.26 / $179.81 / $252.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.77 / $85.85 / $85.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $71.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $125.07 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $54.59 / $96.95