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Louisiana rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.34 / $1,057.65 / $1,424.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.60 / $1,057.65 / $1,149.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.57 / $2,741.16 / $3,853.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.26 / $1,308.89 / $1,308.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $1,149.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.74 / $825.32 / $1,141.26