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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
$35.48 / $56.23 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $147.91 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $63.10 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $60.26 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $70.79