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Louisiana rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.29 / $189.26 / $254.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.32 / $183.35 / $205.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.13 / $490.51 / $689.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.81 / $234.21 / $234.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $174.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $152.16 / $218.01