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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
$148.58 / $157.72 / $212.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $157.71 / $206.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.28 / $408.77 / $574.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.18 / $195.18 / $195.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $190.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $130.13 / $200.52