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Louisiana rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.53 / $52.58 / $70.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $52.58 / $57.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $136.27 / $191.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.39 / $65.06 / $65.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $61.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $42.27 / $62.57