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Louisiana rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $11.94 / $16.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $11.94 / $12.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $30.96 / $43.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $14.78 / $14.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.61 / $14.19