We combine topical anti-fungal medications with our Nd:YAG PinPointe FootLaser,™clinically proven to eliminate toenail fungus. Topical medications kill microbes on the nail surface, while the laser targets fungus deep within the nail.
Combination Therapy: Utilizing topical antifungal medications alongside the PinPointe FootLaser™ is a common strategy. Topical treatments address superficial fungal elements, while the laser targets deeper infections within the nail bed.
Clinical Evidence: Studies have demonstrated that combining laser therapy with topical antifungals can enhance treatment efficacy. For instance, a retrospective study by Weber et al., (2018) reported a mycological cure rate of 63% with one Nd:YAG laser therapy treatment alone, which increased to 86% when combined with topical treatments.
Treatment Frequency: Mild cases may require 3–4 treatments, while severe infections might need 6–8 sessions (Landsman et al., 2010).
PinPointe FootLaser™ Treatment — $200 per session
To ensure you receive the most accurate diagnosis and a personalized plan of care, an initial consultation with Dr. Lang is required. This visit is typically covered by insurance, and for self-pay patients, the fee is $125.00. You will receive the same elevated, concierge-level support regardless of how you choose to pay.
Clean Sweep Antimicrobial Shoe Shield is recommended to help prevent reinfection by eliminating microorganisms within your footwear, supporting a more complete and lasting result. We also offer topical antifungal medications, both prescription and in-office options, and can guide you toward high-quality, cost-effective pharmacy alternatives.
Laser therapy for fungal nails is considered a cosmetic service and is not covered by insurance; however, Health Savings Accounts (HSAs) may be used to help offset the cost of treatment.
The Premier Subscription full kit, no prescription coverage
Initial Onboarding Package – $499.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
The Insurance-Based Subscription using insurance for visits & prescriptions
Initial Onboarding Package – $290.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
The Essential Subscription has out-of-network insurance with prescription coverage
Initial Onboarding Package – $410.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
Outcomes vary by patient and are not guaranteed. Fungal nail care typically requires multiple treatments and ongoing maintenance. Clearance of the fungus and improvement in nail appearance may take several months, up to or over a year, or in the worst-case scenario, may not occur at all.
Insurance coverage is subject to your individual plan, medical necessity requirements, and policy exclusions. Patients are responsible for any amounts not covered by insurance or placed to their responsibility, including but not limited to co-pays, deductibles, co-insurance, and non-covered services.
By enrolling, you agree to pay all applicable fees, including any amounts not covered by insurance or placed to your responsibility such as co-pays, deductibles, co-insurance, and non-covered services. Medications, certain products, and procedures not specifically listed above are billed separately. Pricing is subject to change with reasonable notice. You remain financially responsible for all charges incurred for services received, regardless of changes to pricing, insurance coverage determinations, or your participation in the program.
A 30-day written notice is required to cancel your subscription. Fees for services already rendered are non-refundable. Prepaid unused months may be refunded upon request, less any discounts already applied for completed services. Missed appointments are forfeited. Appointment cancellations require at least 24 hours' notice to avoid forfeiture. Services included in each month’s subscription must be used within that month; unused services do not carry over to future months.
Some services in this program are performed by medical assistants under the supervision of a physician. All prescriptions, diagnoses, and treatment plans are provided by a licensed physician.
Self-pay pricing applies only to patients who are not subscribers to any insurance plan for which New Orleans Podiatry is a provider. If you choose to bill insurance for any covered portion, insurance-based rates and billing policies will apply.
Carney, C., Tosti, A., Daniel, R., Scher, R., Rich, P., Pariser, D., & Elewski, B. (2013). A protocol for diagnosis and treatment of onychomycosis. Journal of the American Academy of Dermatology, 68(6), 1068–1074.
Gupta, A. K., Versteeg, S. G., & Shear, N. H. (2018). A review of the use of laser systems for the treatment of onychomycosis. Lasers in Medical Science, 33(2), 435–449.
Hochman, L. G. (2011). Laser treatment of onychomycosis using a novel 0.65-millisecond pulsed Nd:YAG 1064-nm laser. Journal of Cosmetic and Laser Therapy, 13(1), 2–5.
Karsai, S., et al. (2018). Laser treatment of onychomycosis: An updated review. Lasers in Medical Science, 33(2), 285–292.
Landsman, A., Robbins, A. H., Wu, R., & Cook, J. (2010). Treatment of mild, moderate, and severe onychomycosis using a 0.65-millisecond pulsed Nd:YAG 1064-nm laser. Journal of the American Podiatric Medical Association, 100(3), 166–177.
Lipner, S. R., & Scher, R. K. (2019). Onychomycosis: Clinical overview and diagnosis. Journal of the American Academy of Dermatology, 80(4), 835–851.
Weber, M., et al. (2018). Treatment of onychomycosis using a 1064-nm diode laser with or without topical antifungal therapy: A retrospective study. Lasers in Medical Science, 33(2), 435–449.
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