go back

Louisiana rates for HCPCS L3930

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.80 / $58.17 / $78.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.27 / $58.17 / $63.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.26 / $150.77 / $211.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.19 / $71.98 / $71.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $53.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $47.73 / $74.59