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Louisiana rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.12 / $69.13 / $93.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $69.13 / $75.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.30 / $86.30 / $183.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.88 / $179.17 / $251.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $79.28 / $79.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $87.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $57.20 / $86.84