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Louisiana rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $15.33 / $19.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $14.23 / $15.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $15.76 / $17.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $24.75 / $28.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.33 / $22.12