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Louisiana rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.75 / $1,459.35 / $1,965.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.23 / $1,459.35 / $1,586.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.98 / $3,782.25 / $5,316.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.85 / $1,806.00 / $1,806.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,618.14 / $1,618.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.56 / $1,173.29 / $1,699.60