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Louisiana rates for HCPCS L3766

Elbow-wrist-hand-finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.96 / $858.75 / $1,156.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.89 / $858.75 / $1,034.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.81 / $2,225.65 / $3,128.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.47 / $1,062.73 / $1,062.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $831.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $831.10 / $1,195.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $690.42 / $1,022.51