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Louisiana rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $407.38 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $218.78 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $186.21