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Louisiana rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.43 / $75.81 / $102.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $75.81 / $82.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.03 / $196.52 / $276.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $93.84 / $93.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $69.23 / $73.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $60.97 / $90.34