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Louisiana rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.22 / $77.73 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.26 / $77.73 / $89.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.12 / $116.12 / $116.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.92 / $201.45 / $283.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.42 / $96.20 / $96.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.90 / $78.90 / $78.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $81.70 / $157.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $64.31 / $104.16