go back

Louisiana rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.77 / $144.38 / $559.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.54 / $134.94 / $209.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $280.00 / $280.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.73 / $349.76 / $491.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.63 / $167.00 / $167.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.07 / $235.07 / $235.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $130.59 / $190.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $110.47 / $160.68