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Louisiana rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.99 / $158.15 / $213.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $158.15 / $190.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.76 / $225.00 / $275.66
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
$203.12 / $203.12 / $203.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $146.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $130.87 / $202.81