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Louisiana rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.00 / $249.92 / $893.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.32 / $249.92 / $327.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $520.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.15 / $647.72 / $910.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.57 / $309.27 / $309.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $367.08 / $412.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $580.80 / $580.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $206.80 / $327.70