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Louisiana rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.17 / $109.52 / $147.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $109.52 / $119.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.16 / $283.86 / $399.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.32 / $135.54 / $135.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $295.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $90.63 / $149.41