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Louisiana rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.77 / $106.97 / $144.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.44 / $106.97 / $120.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.29 / $277.24 / $389.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.68 / $132.37 / $132.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $116.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $92.18 / $108.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $88.51 / $142.34