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Louisiana rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.19 / $163.66 / $220.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.12 / $159.54 / $177.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.31 / $424.20 / $596.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.34 / $202.55 / $202.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $185.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $131.59 / $191.88