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Louisiana rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.93 / $1,343.83 / $1,810.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.18 / $1,343.83 / $1,460.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.73 / $3,482.86 / $4,895.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.34 / $1,663.05 / $1,663.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,701.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,067.90 / $1,600.09