go back

Louisiana rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.05 / $203.87 / $274.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.13 / $197.51 / $221.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.88 / $199.88 / $199.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.29 / $528.37 / $742.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $252.29 / $252.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.45 / $226.45 / $226.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $191.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $155.12 / $261.43