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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
$109.65 / $109.65 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $281.84 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $151.36 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $138.04