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Louisiana rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.79 / $583.63 / $786.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.14 / $583.63 / $703.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.77 / $752.77 / $752.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.43 / $1,512.62 / $2,126.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.83 / $722.25 / $722.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $710.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $1,173.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.64 / $469.23 / $694.93