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Louisiana rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.43 / $158.15 / $213.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $148.99 / $171.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.76 / $254.00 / $254.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.94 / $409.90 / $576.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.62 / $195.72 / $195.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $219.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $127.15 / $215.75