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Louisiana rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.73 / $212.02 / $285.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.72 / $212.02 / $230.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.66 / $549.51 / $772.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.36 / $262.38 / $262.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $209.10 / $230.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $175.45 / $282.13