go back

Louisiana rates for HCPCS L3921

Hand-finger orthosis (HFO), 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
$166.39 / $203.14 / $273.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $203.14 / $244.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.18 / $526.48 / $740.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.17 / $251.38 / $251.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $212.98 / $298.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $163.32 / $248.95