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Louisiana rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.40 / $233.96 / $315.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.04 / $233.96 / $254.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.94 / $606.36 / $852.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.06 / $289.54 / $289.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $246.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $193.60 / $319.17