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Louisiana rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.50 / $229.82 / $309.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.96 / $229.82 / $249.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.66 / $595.63 / $837.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.77 / $284.41 / $284.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $291.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.54 / $184.46 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $186.11 / $286.80