go back

Louisiana rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.36 / $171.29 / $230.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.80 / $165.95 / $186.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.87 / $443.95 / $624.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.22 / $211.99 / $211.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $238.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $137.72 / $209.92