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Louisiana rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.28 / $90.53 / $121.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $90.53 / $109.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.34 / $234.62 / $329.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $112.02 / $112.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $99.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $71.95 / $107.81