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Louisiana rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.35 / $277.43 / $373.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.49 / $277.43 / $301.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.89 / $719.02 / $1,010.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $343.33 / $343.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $352.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $352.55 / $352.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $229.22 / $355.75