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Louisiana rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.68 / $215.15 / $289.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.36 / $202.68 / $233.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.95 / $309.95 / $309.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.39 / $557.61 / $783.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.04 / $232.65 / $232.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $209.30 / $214.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $176.10 / $247.82