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Louisiana rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $23.44 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.49 / $20.42