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Louisiana rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.07 / $483.07 / $650.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.69 / $483.07 / $525.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.07 / $623.07 / $623.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.86 / $1,251.99 / $1,759.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.80 / $597.80 / $597.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.55 / $663.55 / $663.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $524.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $399.73 / $659.01