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Louisiana rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $295.12 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $158.49 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $131.83