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Louisiana rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.82 / $1,852.19 / $2,495.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.81 / $1,852.19 / $2,013.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.97 / $4,800.41 / $6,747.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.30 / $2,292.16 / $2,292.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.28 / $2,017.28 / $2,017.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $2,017.28 / $2,017.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,532.65 / $2,464.66