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Louisiana rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.02 / $93.44 / $125.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $90.52 / $101.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.76 / $242.17 / $340.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $115.64 / $115.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $112.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $74.88 / $103.93