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Louisiana rates for HCPCS L3905

Wrist-hand orthosis (WHO), 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
$495.93 / $627.19 / $844.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.21 / $607.62 / $698.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.51 / $1,625.51 / $2,284.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.90 / $776.16 / $776.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $607.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $607.01 / $865.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $498.43 / $746.81