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Louisiana rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.77 / $69.81 / $94.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.79 / $69.81 / $75.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.93 / $180.96 / $254.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $86.40 / $86.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $67.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $57.78 / $83.13