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Louisiana rates for HCPCS L1290

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $50.80 / $68.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $50.80 / $55.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.08 / $131.66 / $185.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $62.87 / $62.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $60.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.35 / $118.06 / $118.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $42.04 / $66.54