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Louisiana rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.88 / $166.55 / $224.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $166.55 / $189.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.67 / $431.64 / $606.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.31 / $206.09 / $206.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $225.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $383.64 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $137.81 / $221.20