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Louisiana rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.82 / $826.74 / $1,113.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.59 / $826.74 / $934.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.25 / $2,142.71 / $3,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.35 / $1,023.12 / $1,023.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,258.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $684.11 / $1,096.64