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Louisiana rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $16.37 / $22.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $16.37 / $17.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.83 / $42.42 / $59.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $20.26 / $20.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $15.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $13.27 / $19.30