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Louisiana rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.53 / $55.76 / $75.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $55.76 / $60.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.59 / $144.51 / $203.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $69.00 / $69.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $73.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $46.14 / $74.70