go back

Louisiana rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.41 / $288.11 / $388.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.28 / $288.11 / $313.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.09 / $746.70 / $1,049.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.08 / $356.55 / $356.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $313.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $238.40 / $383.38