go back

Louisiana rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.39 / $129.91 / $175.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.64 / $129.91 / $143.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.10 / $336.72 / $473.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.41 / $160.78 / $160.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $125.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $172.53 / $193.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $105.36 / $154.54