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Louisiana rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.12 / $367.42 / $494.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.12 / $367.42 / $402.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.41 / $952.25 / $1,338.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.13 / $454.69 / $454.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $400.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $853.88 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $304.02 / $488.91