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Louisiana rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.93 / $223.91 / $301.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $217.81 / $243.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.70 / $580.32 / $815.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.67 / $277.10 / $277.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $189.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $180.03 / $257.95