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Louisiana rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.24 / $423.80 / $570.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.75 / $417.99 / $460.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.96 / $1,098.39 / $1,543.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.48 / $524.47 / $524.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $408.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $340.74 / $517.40