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Louisiana rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.84 / $52.90 / $71.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.98 / $52.90 / $59.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.26 / $137.11 / $192.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $65.45 / $65.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $71.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $43.71 / $67.43