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Louisiana rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $169.82 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $91.20 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $81.28