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Louisiana rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.14 / $60.65 / $81.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.19 / $60.65 / $65.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.01 / $157.19 / $220.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.74 / $75.06 / $75.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $54.05 / $61.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $50.18 / $73.44