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Louisiana rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.64 / $63.31 / $85.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $61.19 / $68.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $99.40 / $115.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.04 / $164.08 / $230.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $78.34 / $78.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $56.69 / $62.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $50.89 / $75.73