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Louisiana rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.38 / $248.80 / $335.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $242.00 / $270.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.46 / $644.83 / $906.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.42 / $307.89 / $307.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $236.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $200.03 / $291.05