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Louisiana rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.98 / $59.42 / $80.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.31 / $59.42 / $73.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.15 / $154.01 / $216.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $73.53 / $73.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $77.43 / $77.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $73.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $49.17 / $76.88