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Louisiana rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.37 / $391.04 / $526.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.70 / $391.04 / $435.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.25 / $1,013.48 / $1,424.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.58 / $483.92 / $483.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $419.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $314.39 / $465.60