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Louisiana rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.32 / $169.13 / $227.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $169.13 / $188.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.58 / $438.33 / $616.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.98 / $209.29 / $209.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $190.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $139.94 / $225.05