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Louisiana rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.59 / $65.38 / $88.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.19 / $65.38 / $71.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.18 / $169.44 / $238.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $80.90 / $80.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $67.70 / $84.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $54.10 / $87.60