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Louisiana rates for HCPCS L4370

Pneumatic Full Leg Splint Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.95 / $122.02 / $164.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.29 / $122.02 / $140.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.12 / $316.24 / $444.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.25 / $151.00 / $151.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $147.82 / $150.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $100.97 / $159.83