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Louisiana rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.31 / $327.29 / $440.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.02 / $327.29 / $384.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.15 / $422.15 / $422.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.53 / $848.24 / $1,192.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.61 / $405.03 / $405.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $372.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.30 / $270.82 / $428.32