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Louisiana rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.91 / $730.25 / $983.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.41 / $721.93 / $793.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.85 / $1,892.61 / $2,660.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.52 / $903.70 / $903.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $573.73 / $819.62