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Louisiana rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.01 / $1,023.33 / $1,378.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.44 / $1,023.33 / $1,112.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.50 / $2,652.21 / $3,728.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.75 / $1,266.41 / $1,266.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.24 / $846.78 / $1,361.71