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Louisiana rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $56.55 / $98.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.55 / $65.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $86.88 / $110.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.79 / $146.55 / $206.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $71.44 / $71.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.66 / $63.66 / $63.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $46.79 / $75.23